Individual
DIANE CAVALLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3946 ONEIDA ST., NEW HARTFORD, NY 13413
(315) 624-8300
(315) 624-5152
Mailing address
39 HOMESTEAD RD. W., CLINTON, NY 13323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
151298
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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