Individual
MS. KATHY ANNETT GARDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPA-C
Contact information
Practice address
1914 BROOKHAVEN AVE, FAR ROCKAWAY, NY 11691-3626
(718) 869-7923
(718) 869-8701
Mailing address
1914 BROOKHAVEN AVE, FAR ROCKAWAY, NY 11691-3626
(718) 869-7923
(718) 869-8701
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0247
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346274537
—
NY
Enumeration date
07/13/2020
Last updated
11/27/2023
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