Individual
GERGES FANOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6520 FRESH POND RD, RIDGEWOOD, NY 11385-3306
(347) 221-8641
Mailing address
6520 FRESH POND RD, RIDGEWOOD, NY 11385-3306
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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