Doctor Name: | MRS. REBECCA J GANZ |
NPI Number: | 1285966929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MA, CPNP |
License Number: | 381227 |
Business Practice Address: | 171 Ramapo Rd Rte 202 Garnerville, NY - 109231552 |
Business Phone Number: | 8459471772 |
Business Fax Number: | 8459474487 |
Mailing Address: | 171 Ramapo Road, Rte 202 GARNERVILLE |
State: | NY |
Postal Code: | 10923 |
Phone Number: | 8459471772 |
Fax Number: | 8459474487 |
NPI Enumeration Date: | 02/05/2010 |
NPI Last Update Date: | 02/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 381227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |