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Individual

MS. PATRICIA A GANLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
523 CHRISTIE ST, SOUTH HEMPSTEAD, NY 11550-8004
(516) 505-3729
Mailing address
523 CHRISTIE ST, SOUTH HEMPSTEAD, NY 11550-8004
(516) 505-3729

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
071470
NY
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
06/11/2008
Last updated
06/11/2008
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