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Contact Information

ASMITA GAUTAM, MD
1000 EAST GENESEE ST.
5TH FLOOR
SYRACUSE, NY13210
 Phone: 315-464-2929
 Fax: 315-464-2930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ASMITA GAUTAM · (Female)

NPI # 1003445966
Status Active
Credentials MD
Entity Individual
Enumeration date 04/03/2020
Last updated 07/29/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 337434
  • NY License # 337434-01
Hospital affiliation(s) Not Available
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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