Pellicore, Karen M

Pellicore, Karen M is an individual health care provider with primary practice located at 2816 Pleasant Ave , Lake View NY 14085-9624. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pellicore, Karen M can be contacted via phone (716) 646-5500.

Contact Information

Primary practice address
2816 Pleasant Ave Lake View NY 14085-9624
Phone: (716) 646-5500
Fax: (716) 646-5502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1010027182 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005182 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F335760-1 New York

Profile Details

NPI number 1366498511
LBN Legal business name Pellicore, Karen M
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 8th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366498511 NPPES
Vermont MEDICAID 1012039

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