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Contact Information

JASON C GANZ, MD
24 RESEARCH WAY
EAST SETAUKET, NY11733-3487
 Phone: 631-444-4666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON C GANZ · (Male)

NPI Number 1215950910
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 06/23/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 60-233290
  • OH Medicaid 2595615
  • OH Other 7720723 AETNA
  • OH Other 000000503657 ANTHEM
  • OH Other 743421 BUCKEYE MEDICAID
  • OH Other P00372950 MEDICARE RAILROAD
  • OH Other 000000221046 UNISON
  • OH Other 363543 WELLCARE MEDICAID
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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