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Individual

HEATHER A GANSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
34 CRAIG ST, WATERVLIET, NY 12189-1815
(518) 209-6465
Mailing address
34 CRAIG ST, WATERVLIET, NY 12189-1815
(518) 209-6465

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-151130
NY

Other

Enumeration date
01/24/2019
Last updated
01/24/2019
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