Individual
DR. ANGELA E GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1224 STATE ROUTE 29, GREENWICH, NY 12834-6120
(518) 692-2040
(518) 692-2440
Mailing address
1224 STATE ROUTE 29, GREENWICH, NY 12834-6120
(518) 692-2040
(518) 692-2440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005918
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000493529005
BSNENY
NY
01
—
10032211
CDPHP
NY
01
—
784431
MVP
NY
01
—
C2T601
EMPIRE BC
NY
Enumeration date
05/16/2006
Last updated
09/20/2019
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