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Individual

DR. CAROLINE M GOMEZ-DI CESARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
109 BAKER AVE, MIDDLEBURGH, NY 12122
(518) 827-7730
(518) 827-7731
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(518) 295-8521
(518) 295-7911

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
211403
NY
208000000X
Pediatrics Physician
211403
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01880919
NY
Enumeration date
04/28/2006
Last updated
08/09/2022
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