MEDICARE: BRIANNA ELIZABETH PECORA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	37AC00890900	NJ

General Provider Information

NPI Number	:	1184567257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA ELIZABETH PECORA

Provider Business Mailing Address
First Line	:	1110 HUDSON ST APT 4N
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-5318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 HUDSON ST APT 4N
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-5318
Country	:	US
Telephone Number	:	516-512-3718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ BRIANNA ELIZABETH PECORA ” Practice Location

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