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NPI Code Detail

MEDICARE: DR. VITO R LAROCCA MD

MEDICARE:  DR. VITO R LAROCCA  MD
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
1207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician Physician319696NY
2207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician Physician224749MA
3207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician Physician79164CT
4207W00000XOphthalmology Physician79164CT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2A39088OTHERMAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1462285OTHERMATUFTS HEALTH PLAN
3AA184736OTHERHARVARD PILGRIM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679569321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VITO R LAROCCA MD
Provider Business Mailing Address
First Line : 40 SAW MILL RIVER RD
Second Line :
City : HAWTHORNE
State : NY
Zip : 10532-1535
Country : US
Telephone Number : 914-909-4700
Fax Number :
Provider Business Practice Location Address
First Line : 282 WASHINGTON ST
Second Line :
City : HARTFORD
State : CT
Zip : 06106-3322
Country : US
Telephone Number : 860-837-5560
Fax Number : 860-837-6387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 05/14/2025

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Directions to “ DR. VITO R LAROCCA MD” Practice Location

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