Individual
ASMITA GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 EAST GENESEE ST., 5TH FLOOR, SYRACUSE, NY 13210
(315) 464-2929
(315) 464-2930
Mailing address
1000 EAST GENESEE ST., 5TH FLOOR, SYRACUSE, NY 13210
(315) 464-2929
(315) 464-2930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
337434
NY
207Q00000X
Family Medicine Physician
337434-01
NY
Other
Enumeration date
04/03/2020
Last updated
07/29/2025
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