Individual
AMANDA M GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
404 STATE ROUTE 37, HOGANSBURG, NY 13655
(518) 358-3141
(518) 358-9175
Mailing address
404 STATE ROUTE 37, HOGANSBURG, NY 13655
(518) 358-3141
(518) 358-9175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
690988-1
NY
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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