Individual
JERALD ROBERT GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10 NATHAN D PERLMAN PL FL 2, NEW YORK, NY 10003-3851
(212) 420-2170
Mailing address
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003-3841
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023092
NY
Other
Enumeration date
01/22/2019
Last updated
06/01/2023
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