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Individual
MS. THERESE M GADOMSKI
Active
Individual
MS. THERESE M GADOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CDE,CDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005268
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000499470002
BSNENY
NY
01
—
070125000023
FIDELIS
NY
01
—
10050420
CDPHP
NY
01
—
1G1011
EMPIRE BLUE CROSS
NY
01
—
699492
MVP HEALTHCARE
NY
01
—
78189
GHI/HMO
NY
Enumeration date
08/21/2006
Last updated
10/29/2008
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