Individual
ALYSSA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 GOODYEAR ROAD, KENMORE, NY 14217-1421
(716) 803-0115
Mailing address
2933 DELAWARE AVE APT 4, KENMORE, NY 14217-2336
(716) 803-0115
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2081S0010X
NY
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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