Organization
MAHMOUD ABU-GHANAM PHYSICIAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD ABU GHANAM MD (OWNER)
(845) 707-3092
Entity
Organization
Contact information
Practice address
1987 STATE ROUTE 52 STE 10, LIBERTY, NY 12754-8317
(845) 292-0078
(845) 292-3244
Mailing address
PO BOX 190, FERNDALE, NY 12734-0190
(845) 292-0078
(845) 292-3244
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
01/16/2025
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