Individual
DR. ERIC ALAN GANTWERKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MMSC(MEDED)
Contact information
Practice address
430 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 470-7550
Mailing address
430 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 470-4516
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
307859
NY
Other
Enumeration date
06/26/2008
Last updated
03/10/2022
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