Individual
MS. DAWN MARIE GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22 QUEEN ANN STREET, FRIENDSHIP, NY 14739-8606
(607) 329-2797
Mailing address
7874 VAN NESS RD, HAMMONDSPORT, NY 14840
(607) 329-2797
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2370481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01822811
—
NY
Enumeration date
03/06/2008
Last updated
11/15/2016
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