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1033876016
LISA DERITIS GANZ
WESTBURY, NY
NPI
1033876016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: NY 2854054)
Enumeration Date
2021-11-24
Last Update Date
2021-11-24
Business Address
LISA DERITIS GANZ
1400 OLD COUNTRY RD STE C103N
WESTBURY, NY 11590-5156
Phone number: 516-806-6969
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Mailing Address
LISA DERITIS GANZ
46 ASHLAND AVE
NEW HYDE PARK, NY 11040-3957
Phone number: 607-727-9130
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