Individual
JEFFREY GARDERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
154 W 127TH ST, NEW YORK, NY 10027-3722
(212) 749-3507
(212) 666-1679
Mailing address
154 W 127TH ST, NEW YORK, NY 10027-3722
(212) 749-3507
(212) 666-1679
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009164-1
NY
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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