Individual
DR. LISA GANJHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
355 W 52ND ST, NEW YORK, NY 10019
(646) 754-2100
(646) 754-2148
Mailing address
355 W 52ND ST, NEW YORK, NY 10019-6239
(646) 754-2100
(646) 754-2148
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
195085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01570869
—
NY
Enumeration date
08/25/2005
Last updated
03/11/2021
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