Doctor Name: | JOANNA GINDER |
NPI Number: | 1093055162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCAT |
License Number: | 001588-1 |
Business Practice Address: | 182 Grandview Ave Nanuet, NY - 10954 |
Business Phone Number: | 8453235424 |
Business Fax Number: | |
Mailing Address: | 182 Grandview Ave, NANUET |
State: | NY |
Postal Code: | 109543119 |
Phone Number: | 8453235424 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2013 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZA2600X |
License Number: | 001588-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Art, Medical |
Taxonomy Definition: |