Provider Demographics
NPI:1073006789
Name:GANCI, ZELANDIA ALBA (MS, MED)
Entity Type:Individual
Prefix:
First Name:ZELANDIA
Middle Name:ALBA
Last Name:GANCI
Suffix:
Gender:F
Credentials:MS, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ACCOMMANDO PL
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-1002
Mailing Address - Country:US
Mailing Address - Phone:917-922-7766
Mailing Address - Fax:201-945-3549
Practice Address - Street 1:2 ACCOMMANDO PL
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-1002
Practice Address - Country:US
Practice Address - Phone:917-922-7766
Practice Address - Fax:201-945-3549
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist