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
Phone: (518) 713-5347
Fax: (518) 713-5359
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134316581 | NPPES |
New York | MEDICAID | 02987364 |
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