Organization
CESARE GASPARI DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESARE GASPARI DPM (OWNER)
(516) 965-6601
Entity
Organization
Contact information
Practice address
5316 ROOSEVELT AVE STE 2, WOODSIDE, NY 11377-4239
(718) 672-0600
(718) 672-0655
Mailing address
5316 ROOSEVELT AVE STE 2, WOODSIDE, NY 11377-4239
(718) 672-0600
(718) 672-0655
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7773450002
DME
NY
Enumeration date
10/04/2019
Last updated
01/29/2020
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