Individual
AVIVENTZ GANTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 HARVEY CT, SPRING VALLEY, NY 10977-3004
(845) 300-4193
Mailing address
13 HARVEY CT, SPRING VALLEY, NY 10977-3004
(845) 300-4193
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
914157874
NY
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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