Ganesh, Jaya B
Ganesh, Jaya B is an individual health care provider with primary practice located at Genetics & Genomic Sciences 1 Gustave Levy L. Place #1497, New York NY 10029-6500. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Ganesh, Jaya B can be contacted via phone (212) 241-6947.Contact Information
Primary practice address
Genetics & Genomic Sciences 1 Gustave Levy L. Place #1497
New York NY 10029-6500
Phone: (212) 241-6947
Fax: (212) 860-3316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | MD417029 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD417029 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | MD417029 | Pennsylvania |
Profile Details
| NPI number | 1740202159 |
|---|---|
| LBN Legal business name | Ganesh, Jaya B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Mar 25th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740202159 | NPPES |
| Pennsylvania | MEDICAID | 100841117 | |
| Pennsylvania | Other | 8J8241 | |
| Pennsylvania | MEDICAID | 0015857 |
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