Individual
DR. DIANE M GEORGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 NORTON AVE, ONEONTA, NY 13820-2629
(607) 431-5646
Mailing address
1 NORTON AVE, ONEONTA, NY 13820-2629
(607) 431-5646
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
213504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33882A
MDCR
NY
Enumeration date
03/28/2007
Last updated
08/04/2016
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