Ganjhu, Lisa

Ganjhu, Lisa is an individual health care provider with primary practice located at 355 W 52Nd St , New York NY 10019. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Ganjhu, Lisa can be contacted via phone (646) 754-2100.

Contact Information

Primary practice address
355 W 52Nd St New York NY 10019
Fax: (646) 754-2148
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 195085 New York

Profile Details

NPI number 1710970702
LBN Legal business name Ganjhu, Lisa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Mar 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710970702 NPPES
New York MEDICAID 01570869

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