Individual
RUBY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
24 N CLOVER DR, GREAT NECK, NY 11021-1038
(310) 801-7893
Mailing address
24 N CLOVER DR, GREAT NECK, NY 11021-1038
(310) 801-7893
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
213E00000X
Podiatrist
N007041
NY
213EP0504X
Public Medicine Podiatrist
N007041
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N007041
NY
213ER0200X
Radiology Podiatrist
N007041
NY
213ES0000X
Sports Medicine Podiatrist
N007041
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007041
NY
213ES0131X
Foot Surgery Podiatrist
N007041
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2017
Last updated
01/04/2023
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