Individual
DR. PAUL DAVID GANCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
16A DIX AVE, GLENS FALLS, NY 12801-3162
(518) 793-6480
Mailing address
16A DIX AVE, GLENS FALLS, NY 12801-3162
(518) 793-6480
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000097-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000412014001
BLUE SHIED OF NENY
NY
01
—
0030500
EMPIRE PLAN
NY
05
—
00989193
—
NY
01
—
10000729
CDPHP
NY
01
—
6271
MVP
NY
01
—
M0202
EMPIRE BC/BS
NY
Enumeration date
08/16/2006
Last updated
07/08/2007
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