Individual
DR. PAUL EDWARD GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6859 EAST GENESEE STREET, EMPIRE VISION CENTERS, FAYETTEVILLE, NY 13066
(315) 251-2206
(315) 251-2220
Mailing address
2921 ERIE BLVD EAST, SYRACUSE, NY 13224
(315) 445-7465
(315) 445-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004536
NY
Other
Enumeration date
05/05/2006
Last updated
11/07/2007
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