Gesualdo, Maria B

Gesualdo, Maria B is an individual health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413-1001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Gesualdo, Maria B can be contacted via phone (315) 798-1702.

Contact Information

Primary practice address
1729 Burrstone Rd New Hartford NY 13413-1001
Fax: (315) 798-1726
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 229084 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 229084 New York

Profile Details

NPI number 1407840614
LBN Legal business name Gesualdo, Maria B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Feb 17th, 2017 - about 9 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 1407840614 NPPES
New York MEDICAID 01899503

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