Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25MA08425500 | NJ |
Y | 2080P0205X | Pediatric Endocrinologist | 25MA08425500 | NJ |
NPI | 1124275094 |
---|---|
Provider Name | Dr. Steven Nigel Ghanny |
First Address | Hackensack, NJ 07601-1914 |
Second Address | Hackensack, NJ 07601-1914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2008 |
Last Update Date | 26/04/2017 |