Alyssa R Ganchrow

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

14730 76TH Rd
Flushing, NY 11367-3140

Phone

(585) 520-0014

NPI assigned

Jun 27, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Alyssa R Holzer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1952741449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14730 76TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14730 76TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673140",
            "telephone_number": "585-520-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCHROW",
        "first_name": "ALYSSA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "HOLZER",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mordechai Gampel, M.D.
• Michele Gamzo
• Jiangping Gan
• Haydee Ganace
• Nicole Ganas
• Jennifer Rebecca Ganchrow, M.S.
• Kristen Ganchrow
• Asad Gandapur, MD
• Bhaskar R Ganti, D.D.S
• Shaindy Ganz, OTR/L

• Specialist in Flushing, NY
• Providers in Flushing, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.