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Individual

DR. GWENDOLINE FRANCES YVONNE LANZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4236 ALBANY POST RD, HYDE PARK, NY 12538
(845) 229-2196
(845) 229-1650
Mailing address
20 VAL-KILL DRIVE, POUGHKEEPSIE, NY 12601
(845) 471-8030
(845) 229-1650

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
037685
NY
2084P0800X
Psychiatry Physician
121559
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0045805
VALUE OPTIONS GHI EMPIRE
NY
01
12396652
MULTIPLAN
01
207234
MVP
NY
Enumeration date
07/05/2006
Last updated
07/08/2007
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