Individual
MRS. CLAIRE ELAINE GARDAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16 3RD ST, STE C, MALONE, NY 12953-1305
(518) 483-1015
(518) 483-0430
Mailing address
19 MAPLE ST, CANTON, NY 13617-1338
(315) 386-3482
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F3600271
NY
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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