Individual
DR. RICHARD A TALLARICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6620 FLY ROAD, STE 200, EAST SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5229
Mailing address
6620 FLY ROAD, STE 200, EAST SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5229
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
239755
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
239755
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02755580
—
NY
Enumeration date
05/12/2006
Last updated
11/30/2009
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