Individual
DORIT DORCAS GAEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1927 SARANAC AVE, SUITE 100, LAKE PLACID, NY 12946-1112
(518) 523-7575
(518) 523-7577
Mailing address
1927 SARANAC AVE, SUITE 100, LAKE PLACID, NY 12946-1112
(518) 523-7575
(518) 523-7577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
191687
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01410195
—
NY
Enumeration date
02/14/2006
Last updated
02/20/2019
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