Individual
MR. CHRISTIAN GARDY OLIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
772 FERNDALE BLVD, CENTRAL ISLIP, NY 11722-4812
(631) 882-1047
Mailing address
772 FERNDALE BLVD, CENTRAL ISLIP, NY 11722-4812
(631) 882-1047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
897959-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920472205
DRIVERS LICENSE
NY
05
—
920472205
—
NY
Enumeration date
11/22/2021
Last updated
10/02/2024
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