Individual
CYNTHIA JACILDONE BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1799
(315) 265-3300
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1799
(315) 265-3300
(315) 262-2279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
183241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01203869
—
NY
Enumeration date
07/07/2005
Last updated
07/10/2024
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