Individual
DENA GANOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8326 MAIN ST, INTERLAKEN, NY 14847-9789
(607) 869-9636
(607) 532-8540
Mailing address
8326 MAIN ST, INTERLAKEN, NY 14847-9789
(607) 869-9636
(607) 532-8540
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
434598-1
NY
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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