Individual
PIA J GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
88-31 55TH AVENUE, SUITE 201, ELMHURST, NY 11373-4686
(718) 899-6600
(718) 606-3881
Mailing address
55 WATER STREET 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08838800
NJ
208000000X
Pediatrics Physician
Primary
269935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246379
—
NJ
Enumeration date
04/14/2006
Last updated
04/25/2022
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