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Individual

RICHARD P KASKIW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
122 W EMBARGO ST, ROME, NY 13440-5138
(315) 337-3391
(315) 337-0515
Mailing address
PO BOX 340, NEW HARTFORD, NY 13413-0340
(315) 732-9368
(315) 732-9403

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
184549-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01258864
NY
Enumeration date
05/27/2006
Last updated
03/07/2023
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