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Individual

DR. DAWN AMANDA GONSALVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
905 GREENE CO OFFICE BLDG, CAIRO, NY 12413
(518) 622-9163
(518) 622-8592
Mailing address
905 GREENE CO OFFICE BLDG, CAIRO, NY 12413
(518) 622-9163
(518) 622-8592

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
243827
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
243827
LICENSE
NY
Enumeration date
04/26/2007
Last updated
03/07/2023
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