Individual
NICOLE GANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14037 CHERRY AVE STE 1A, FLUSHING, NY 11355-7805
(718) 661-4201
(718) 661-0066
Mailing address
14037 CHERRY AVE STE 1A, FLUSHING, NY 11355-7805
(718) 661-4201
(718) 661-0066
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
050023
NY
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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