Individual
FRED L TALARICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 GENESEE STREET, UTICA, NY 13501-5932
(315) 733-1148
(315) 733-0985
Mailing address
2115 GENESEE STREET, UTICA, NY 13501-5932
(315) 733-1148
(315) 733-0985
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1445061
NY
207RC0000X
Cardiovascular Disease Physician
Primary
1445061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00966463
—
NY
01
—
16105
AHP CLAIMS DEPARTMENT
—
01
—
16140
APA PARTNERS
—
01
—
35175
ADMINISTAR CHAMPUS
—
01
—
60054
AETNA
—
01
—
87226
AETNA LIFE INS CO
—
01
—
98999
AARRP UNITED HEALTH CARE
—
01
—
99116
AHP CLAIMS DEPARTMENT MSP
—
01
—
99709
ADMINISTAR CHAMPUS
—
Enumeration date
08/24/2006
Last updated
01/10/2008
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