| Fred L Talarico Md Pc | |
|
2115 Genesee Street Utica NY 13501-5932 | |
| (315) 733-1148 | |
| (315) 733-0985 |
| Full Name | Fred L Talarico Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2115 Genesee Street, Utica, New York |
| Authorized Official Name and Position | Fred L Talarico (OWNER) |
| Authorized Official Contact | 3157331148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred L Talarico Md Pc 2115 Genesee Street Utica NY 13501-5932 Ph: (315) 733-1148 | Fred L Talarico Md Pc 2115 Genesee Street Utica NY 13501-5932 Ph: (315) 733-1148 |
| NPI Number | 1710068309 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 01/10/2008 |
| Medicare PECOS PAC ID | 2365535218 |
|---|---|
| Medicare Enrollment ID | O20070907000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710068309 | NPI | - | NPPES |
| 00966463 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1445061 (New York) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 1445061 (New York) | Primary |
| Provider Name | Fred L Talarico |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467569590 PECOS PAC ID: 2466545314 Enrollment ID: I20070907000646 |
| Provider Name | Patricia A Rosati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760585285 PECOS PAC ID: 4880776905 Enrollment ID: I20080129000367 |
| Provider Name | Taylor Alexandra Unser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215599832 PECOS PAC ID: 5991032518 Enrollment ID: I20190806000112 |
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