Individual
CODY C GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
4100 VESTAL RD, VESTAL, NY 13850-3524
(607) 242-9528
Mailing address
604 HOLLY HILL RD, VESTAL, NY 13850-2906
(160) 724-2952
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
310513
NY
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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