Individual
SAMANTHA GANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
82-68 164TH STREET, JAMAICA, NY 11432
(718) 883-3070
Mailing address
82-68 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
302005
NY
Other
Enumeration date
04/18/2017
Last updated
12/10/2022
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