Individual
GINGER JEAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2375
Mailing address
633 3RD AVE, BOX 3, NEW YORK, NY 10017-6706
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D62011
MD
207VX0201X
Gynecologic Oncology Physician
Primary
224188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8RR1130601
MEDICARE PTAN
NY
01
—
8RR11EE101
MEDICARE PTAN
NY
Enumeration date
06/13/2006
Last updated
08/19/2011
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