Gardner, Rosemary L

Gardner, Rosemary L is an individual health care provider with primary practice located at 713 Troy Schenectady Rd Ste 215 , Latham NY 12110-2490. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gardner, Rosemary L can be contacted via phone (518) 713-5347.

Contact Information

Primary practice address
713 Troy Schenectady Rd Ste 215 Latham NY 12110-2490
Fax: (518) 713-5359
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 23012078 New York

Profile Details

NPI number 1134316581
LBN Legal business name Gardner, Rosemary L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Jul 21st, 2022 - 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 1134316581 NPPES
New York MEDICAID 02987364

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