Provider Demographics
NPI:1841339702
Name:GANEM, AMANDA R (MD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:R
Last Name:GANEM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:1 THEALL RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1404
Practice Address - Country:US
Practice Address - Phone:914-682-6488
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2013-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY226951207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease