National Provider Identifier

Salvatore Russell Pecoraro, MD

Salvatore Russell Pecoraro, MD is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Medina, NY and a listed phone number of (585) 798-8080.

NPI 1548395429Medina, NYEmergency Medicine Physician

Profile Overview

NPI
1548395429
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
February 22, 2007
Last Updated
March 07, 2023

Practice Location

  • 200 Ohio Street
  • Medina Memorial Hospital
  • Medina, NY 14103

Phone: (585) 798-8080

Mailing Address

  • 37 Forestview Court
  • Williamsville, NY 14221-1445

Specialties

  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1548395429
Entity Type
Individual
Last Name
Pecoraro
First Name
Salvatore
Middle Name
Russell
Name Prefix
Mr.
Credential
MD
Mailing Street Address
37 Forestview Court
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-1445
Mailing Country
US
Mailing Phone
(716) 689-6765
Practice Street Address
200 Ohio Street
Practice Address Line 2
Medina Memorial Hospital
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103
Practice Country
US
Practice Phone
(585) 798-8080
Enumeration Date
February 22, 2007
Last Updated
March 07, 2023
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X)
Other Identifiers
183816 (NY)