Individual
DEAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6564
(315) 298-7488
Mailing address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6564
(315) 298-7488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
023498
NY
363LF0000X
Family Nurse Practitioner
Primary
F344984
NY
Other
Enumeration date
04/16/2015
Last updated
01/20/2022
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