Individual
PREETHI GANAPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 HARRISON ST STE L, SYRACUSE, NY 13202-3188
(315) 464-5253
Mailing address
550 HARRISON ST STE L, SYRACUSE, NY 13202-3188
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
006160
GA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
294036
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294036
—
NY
Enumeration date
06/25/2013
Last updated
03/31/2022
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