Individual
SEAN CARTER GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 TOC DR UNIT 103, HIGHLAND, NY 12528-1551
(631) 452-2303
Mailing address
42 TOC DR UNIT 103, HIGHLAND, NY 12528-1551
(631) 452-2303
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/05/2023
Last updated
07/03/2023
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