MEDICARE: DR. ANGELO PORCARI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	181477	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	110060046	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010647146	OTHER	NY	EMPIRE PLAN
2	010647146	OTHER	NY	POMCO
3	990270	OTHER	NY	MVP
4	4479	OTHER	NY	TOTAL CARE
5	010647146	OTHER	NY	CIGNA HEALTHCARE
6	010647146	OTHER	NY	UNITED HEALTHCARE
8	000915959002	OTHER	NY	HEALTHNOW
9	01114900	OTHER	NY	BLUE CROSS BLUE SHIELD UT
10	2501803	OTHER	NY	GHI
11	000002160	OTHER	NY	BLUE CROSS BLUE SHIELD CE
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427055789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELO PORCARI M.D.

Provider Business Mailing Address
First Line	:	361 S 4TH ST
Second Line	:
City	:	FULTON
State	:	NY
Zip	:	13069-2532
Country	:	US
Telephone Number	:	315-598-5373
Fax Number	:	315-598-2304

Provider Business Practice Location Address
First Line	:	361 S 4TH ST
Second Line	:
City	:	FULTON
State	:	NY
Zip	:	13069-2532
Country	:	US
Telephone Number	:	315-598-5373
Fax Number	:	315-598-2304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	10/15/2008

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