Individual
CHERESE GANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
998 CROOKED HILL RD, BLDG 69, WEST BRENTWOOD, NY 11717-1019
(631) 761-4160
(631) 761-4184
Mailing address
998 CROOKED HILL RD, BLDG 69, WEST BRENTWOOD, NY 11717-1019
(631) 761-4160
(631) 761-4184
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
057758-1
NY
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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