Organization
DIANE M GEORGESON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARIE GEORGESON MD (PRESIDENT)
(607) 431-2131
Entity
Organization
Contact information
Practice address
1 FOX CARE DR, SUITE 303, ONEONTA, NY 13820-2086
(607) 431-2131
(607) 431-2133
Mailing address
1 FOX CARE DR, SUITE 303, ONEONTA, NY 13820-2086
(607) 431-2131
(607) 431-2133
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00213504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01953924
—
NY
Enumeration date
11/02/2005
Last updated
04/29/2008
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