Individual
DR. AMANDA KRISTEN GANGOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
513 W 166TH ST, NEW YORK, NY 10032-4207
(212) 928-8300
Mailing address
513 W 166TH ST, NEW YORK, NY 10032-4207
(212) 928-8300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
273069
NY
Other
Enumeration date
01/07/2011
Last updated
03/28/2016
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