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Individual
DR. EDWARD ANDREW LEGARRETA
Active
Individual
DR. EDWARD ANDREW LEGARRETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
124124-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010102403
UNIVERA
NY
01
—
0005075298008
BCBS
NY
05
—
00624162
—
NY
01
—
0800088
IHA
NY
01
—
161149444
TAX ID
NY
01
—
441182737
RAILROAD MEDICARE
NY
Enumeration date
04/20/2006
Last updated
01/16/2017
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