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Individual
MR. HEIKO GANZER
Active
Individual
MR. HEIKO GANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R055707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02397822
—
NY
05
—
0239782204
—
NY
01
—
055707
HIP
NY
01
—
1060287EF
CIGNA BEHAVORAL HEALTH
NY
01
—
346531
MHN
NY
01
—
7370072
AETNA
NY
01
—
7483430
GHI
NY
01
—
N5J732
EMPIRE BC/BS
NY
01
—
P1119530
OXFORD
NY
Enumeration date
05/18/2006
Last updated
04/23/2012
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