Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 225637 | MA |
N | 208600000X | Surgeon | 225637 | MA |
Y | 2086S0120X | Pediatric Surgery | 266241 | NY |
NPI | 1306967534 |
---|---|
Provider Name | Michael E Ganey |
First Address | East Greenbush, NY 12061-3541 |
Second Address | Albany, NY 12208-3412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 16/08/2012 |