| Hariram Ganesh Medicine Pllc | |
|
99 Cold Spring Rd Syosset NY 11791-3140 | |
| (516) 496-1717 | |
| Not Available |
| Full Name | Hariram Ganesh Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 99 Cold Spring Rd, Syosset, New York |
| Authorized Official Name and Position | Hariram Ganesh (OWNER) |
| Authorized Official Contact | 5164961717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hariram Ganesh Medicine Pllc 99 Cold Spring Rd Syosset NY 11791-3140 Ph: (516) 496-1717 | Hariram Ganesh Medicine Pllc 99 Cold Spring Rd Syosset NY 11791-3140 Ph: (516) 496-1717 |
| NPI Number | 1447978978 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Medicare PECOS PAC ID | 1153798806 |
|---|---|
| Medicare Enrollment ID | O20221109001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447978978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hariram Ganesh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982946174 PECOS PAC ID: 6002189966 Enrollment ID: I20170829002470 |
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