Individual
DR. KIRSTEN K. CESTARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 S MANNING BLVD, MEDICAL IMAGING DEPARTMENT, ALBANY, NY 12208-1707
(518) 525-1852
(518) 525-1559
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
036116836
IL
2085R0202X
Diagnostic Radiology Physician
Primary
247878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02970083
—
NY
01
—
036116836
STATE MEDICAL LICENSE
IL
01
—
247878
MEDICAL LICENSE
NY
Enumeration date
01/26/2007
Last updated
05/12/2021
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