Provider Demographics
NPI:1477921328
Name:GASPARI, CESARE (DPM)
Entity Type:Individual
Prefix:DR
First Name:CESARE
Middle Name:
Last Name:GASPARI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 E 22ND ST UNIT 1EF
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4616
Mailing Address - Country:US
Mailing Address - Phone:212-684-1900
Mailing Address - Fax:212-684-6273
Practice Address - Street 1:235 E 22ND ST UNIT 1EF
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4616
Practice Address - Country:US
Practice Address - Phone:212-684-1900
Practice Address - Fax:212-684-6273
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2020-01-29
Deactivation Date:2015-12-02
Deactivation Code:
Reactivation Date:2018-01-10
Provider Licenses
StateLicense IDTaxonomies
NYN003736-1213ES0103X, 213ES0131X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7773450002OtherDME