Individual
JAMIE GANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 E 34TH ST, APT 11T, NEW YORK, NY 10016-4766
(248) 762-2750
Mailing address
155 E 34TH ST, APT 11T, NEW YORK, NY 10016-4766
(248) 762-2750
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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