Individual
MR. CHRISTOPHER H GANGOO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
155 REID AVE, STATEN ISLAND, NY 10305-2423
(718) 226-2447
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006166-1
NY
Other
Enumeration date
03/05/2006
Last updated
07/08/2007
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