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Individual

DR. ANGELO PORCARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
361 S 4TH ST, FULTON, NY 13069-2532
(315) 598-5373
(315) 598-2304
Mailing address
361 S 4TH ST, FULTON, NY 13069-2532
(315) 598-5373
(315) 598-2304

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
181477
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000002160
BLUE CROSS BLUE SHIELD CE
NY
01
000915959002
HEALTHNOW
NY
01
010647146
EMPIRE PLAN
NY
01
01114900
BLUE CROSS BLUE SHIELD UT
NY
05
01342709
NY
01
110060046
RAILROAD MEDICARE
NY
01
2501803
GHI
NY
01
4479
TOTAL CARE
NY
01
990270
MVP
NY
Enumeration date
07/01/2005
Last updated
10/15/2008
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