| Doctor Name: | MS. GERALDINE MARY DICOSIMO |
| NPI Number: | 1033325253 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.N., C.S. |
| License Number: | F300617-1 |
| Business Practice Address: | 8112 Cazenovia Road Seven Pines Office Bldg. One, Suite 3 Manlius, NY - 13104 |
| Business Phone Number: | 3156820726 |
| Business Fax Number: | |
| Mailing Address: | 8415 Hobnail Rd, MANLIUS |
| State: | NY |
| Postal Code: | 131049332 |
| Phone Number: | 3156822622 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F300617-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |