Gardner, Nathan James

Gardner, Nathan James is an individual health care provider with primary practice located at 81 Miller Rd Suite 800, Castleton NY 12033-4035. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gardner, Nathan James can be contacted via phone (518) 477-2167.

Contact Information

Primary practice address
81 Miller Rd Suite 800 Castleton NY 12033-4035
Phone: (518) 477-2167
Fax: (518) 477-5182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 23012060 New York

Profile Details

NPI number 1700079662
LBN Legal business name Gardner, Nathan James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated May 19th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700079662 NPPES
New York MEDICAID 01436135

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