Gardner, Andrew
Gardner, Andrew is an individual health care provider with primary practice located at 45 Reade Pl , Poughkeepsie NY 12601-3947. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gardner, Andrew can be contacted via phone (845) 483-6217.Contact Information
Primary practice address
45 Reade Pl
Poughkeepsie NY 12601-3947
Phone: (845) 483-6217
Fax: (845) 483-6108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 003948-1 | New York |
Profile Details
| NPI number | 1710915566 |
|---|---|
| LBN Legal business name | Gardner, Andrew |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710915566 | NPPES |
| New York | MEDICAID | 01551115 |
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