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Individual

DR. JOSEPH JAMES TRICARICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
420 77TH ST, BROOKLYN, NY 11209-3206
(718) 748-3838
(718) 748-3850
Mailing address
420 77TH ST, BROOKLYN, NY 11209-3206
(718) 748-3838
(718) 748-3850

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
118172
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01637943
NY
01
694611
BLUE CROSS BLUE SHEILD
NY
01
CG6061
MEDICARE RR
NY
Enumeration date
09/15/2006
Last updated
09/23/2010
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