Individual
MR. LOUIE CHUIDIAN GANCAYCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
3050 WHITE PLAINS RD, BRONX, NY 10467-8124
(718) 944-7122
Mailing address
44 LINN AVE, YONKERS, NY 10705-2503
(917) 456-7787
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
22 485130
NY
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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