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Individual

DONALD LARGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
158287
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010099504
UNIVERA
NY
01
000525016003
BLUE CROSS
NY
05
01129524
NY
01
050112000105
FIDELIS
NY
01
152342FL
PREFERRED CARE
NY
01
1703037
INDEPENDENT HEALTH
NY
01
602388900
DEPARTMENT OF LABOR
NY
01
P00228108
RAILROAD MEDICARE
Enumeration date
03/14/2006
Last updated
07/05/2017
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