Organization
WASHINGTONVILLE PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA GANNON M.D. (M.D./PRESIDENT)
(845) 496-5436
Entity
Organization
Contact information
Practice address
21 SOUTH ST, WASHINGTONVILLE, NY 10992-1517
(845) 496-5436
(845) 496-7640
Mailing address
21 SOUTH ST, WASHINGTONVILLE, NY 10992-1517
(845) 496-5436
(845) 496-7640
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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