Individual
ALYSSA FAYE GANZHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4289 AUGUSTA RD, MADISON, NY 13402-9517
(315) 750-5345
Mailing address
4289 AUGUSTA RD, MADISON, NY 13402-9517
(315) 750-5345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
634375-1
NY
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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