Individual
JOSEPH GARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37 RESEARCH WAY, EAST SETAUKET, NY 11733-3465
(631) 553-3499
Mailing address
2 CONSTANCE COURT, E SETAUKET, NY 11733
(631) 553-3499
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
160396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01293452
—
NY
05
—
0293452
—
NY
01
—
5310574
AETNA
NY
Enumeration date
06/10/2006
Last updated
03/04/2013
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