Provider Demographics
NPI:1871198291
Name:GANZFRIED, TZIPORAH
Entity Type:Individual
Prefix:
First Name:TZIPORAH
Middle Name:
Last Name:GANZFRIED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 44TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2299
Mailing Address - Country:US
Mailing Address - Phone:347-436-5322
Mailing Address - Fax:
Practice Address - Street 1:1401 44TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2299
Practice Address - Country:US
Practice Address - Phone:347-436-5322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist