Individual
KATHLEEN GANUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
77 UNION AVE, CENTER MORICHES, NY 11934-3213
(631) 878-0795
(631) 878-0527
Mailing address
77 UNION AVE, CENTER MORICHES, NY 11934-3213
(631) 878-0795
(631) 878-0527
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
26-2682906
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1181623
REGISTERED NURSE
NY
Enumeration date
04/21/2009
Last updated
04/21/2009
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