Individual
DAVID GANELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 BROADWAY, WOODMERE, NY 11598-1791
(516) 569-5363
Mailing address
920 BROADWAY, WOODMERE, NY 11598-1791
(516) 569-5363
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
129611-1
NY
Other
Enumeration date
10/04/2006
Last updated
10/19/2007
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