Gannon, Barbara
Gannon, Barbara is an individual health care provider with primary practice located at 10 Weathervane Dr , Washingtonville NY 10992-2242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Gannon, Barbara can be contacted via phone (845) 634-7900.Contact Information
Primary practice address
10 Weathervane Dr
Washingtonville NY 10992-2242
Phone: (845) 634-7900
Fax: (845) 634-0632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 1783891 | New York |
Profile Details
| NPI number | 1619085388 |
|---|---|
| LBN Legal business name | Gannon, Barbara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jul 23rd, 2013 - about 11 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 | 1619085388 | NPPES |
| New York | MEDICAID | 01280166 |
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