Individual
MR. GANESH RAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Mailing address
10733 129TH ST, SOUTH RICHMOND HILL, NY 11419-3017
(917) 327-2671
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308409-1
NY
Other
Enumeration date
12/16/2017
Last updated
12/16/2017
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