Individual
DR. LAURA ELIZABETH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2699
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2699
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
277195-1
NY
Other
Enumeration date
07/11/2011
Last updated
10/15/2015
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