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Contact Information

MARIA B GESUALDO, DO
1729 BURRSTONE RD
NEW HARTFORD, NY13413-1001
 Phone: 315-798-1702
 Fax: 315-798-1726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARIA B GESUALDO · (Female)

NPI # 1407840614
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/02/2005
Last updated 02/17/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 229084
  • NY Medicaid 01899503
Hospital affiliation(s)
  • FAXTON-ST LUKE'S HEALTHCARE - (Acute Care)
    1656 CHAMPLIN AVENUE
    UTICA, NY 13503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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