Individual
MRS. ANNA GANTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 OCEAN PKWY, 2H, BROOKLYN, NY 11230-6454
(917) 836-3980
(718) 998-2578
Mailing address
1420 OCEAN PKWY, 2H, BROOKLYN, NY 11230-6454
(917) 836-3980
(718) 998-2578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1152246
NY
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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