Gaedtke, Dorit Dorcas

Gaedtke, Dorit Dorcas is an individual health care provider with primary practice located at 1927 Saranac Ave Suite 100, Lake Placid NY 12946-1112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gaedtke, Dorit Dorcas can be contacted via phone (518) 523-7575.

Contact Information

Primary practice address
1927 Saranac Ave Suite 100 Lake Placid NY 12946-1112
Phone: (518) 523-7575
Fax: (518) 523-7577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 191687 New York

Profile Details

NPI number 1740254069
LBN Legal business name Gaedtke, Dorit Dorcas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 20th, 2019 - about 6 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 1740254069 NPPES
New York MEDICAID 01410195

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