Individual
DR. MARIA B GESUALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1702
(315) 798-1726
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1702
(315) 798-1726
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
229084
NY
207RP1001X
Pulmonary Disease Physician
229084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01899503
—
NY
Enumeration date
09/02/2005
Last updated
02/17/2017
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