Organization
FRED L TALARICO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED L TALARICO MD (OWNER)
(315) 733-1148
Entity
Organization
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
Enumeration date
10/18/2006
Last updated
01/10/2008
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