Individual
HEATHER MARIE GANOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 CENTRAL AVE, CORTLAND, NY 13045-2746
(607) 753-5203
(607) 758-5542
Mailing address
3648 FAIRVIEW DR, CORTLAND, NY 13045-9331
(315) 440-0279
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
763738-1
NY
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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