Individual
DR. JENNIFER GANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39 CALUMET DR, DIX HILLS, NY 11746-6727
(440) 725-7808
Mailing address
39 CALUMET DR, DIX HILLS, NY 11746-6727
(440) 725-7808
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
275481
NY
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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