Individual
DR. TRACI FURBERT GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35 KENSICO RD, THORNWOOD, NY 10594-1143
(914) 449-6064
(914) 449-6366
Mailing address
35 KENSICO RD, THORNWOOD, NY 10594-1143
(914) 449-6064
(914) 449-6366
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
222099
NY
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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