Individual
DR. CHANDRA GANESHKUMAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 S BROADWAY, HICKSVILLE, NY 11801-5006
(516) 938-0100
(516) 938-0120
Mailing address
350 S BROADWAY, HICKSVILLE, NY 11801-5006
(516) 938-0100
(516) 938-0120
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
145133
NY
Other
Enumeration date
05/21/2006
Last updated
07/08/2007
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