Provider Demographics
NPI:1891069225
Name:PECORA, NICOLE DANIELLE (MD/PHD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:DANIELLE
Last Name:PECORA
Suffix:
Gender:F
Credentials:MD/PHD
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Mailing Address - Street 1:601 ELMWOOD AVENUE
Mailing Address - Street 2:URMC BOX 626
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:585-275-3184
Mailing Address - Fax:585-276-2047
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:UNIVERSITY OF ROCHESTER MEDICAL CENTER, BOX 626
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-3184
Practice Address - Fax:585-276-2047
Is Sole Proprietor?:No
Enumeration Date:2012-03-02
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA249090207ZC0006X
NY283851207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology