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Individual
DR. THERESA A SIRICO
Active
Individual
DR. THERESA A SIRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
192285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401055002
BSNENY
NY
05
—
01670075
—
NY
01
—
070322000009
FIDELIS
NY
01
—
08953
MVP
NY
01
—
10021142
CDPHP
NY
01
—
200137
SENIOR WHOLE HEALTH
NY
01
—
3686D1
EMPIRE BC
NY
01
—
5068652
AETNA
NY
01
—
52560
GHI/HMO
NY
Enumeration date
10/13/2006
Last updated
08/21/2024
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