Casella, Gizelda Tardin Bonamichi

Casella, Gizelda Tardin Bonamichi is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine is her primary health care specialty. Casella, Gizelda Tardin Bonamichi can be contacted via phone (315) 464-8200.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2306
Phone: (315) 464-8200
Fax: (315) 464-8201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 276120 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 276120 New York

Profile Details

NPI number 1548403108
LBN Legal business name Casella, Gizelda Tardin Bonamichi
Credentials M.D. PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2009
Last updated Sep 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548403108 NPPES
New York MEDICAID 03914481

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