Timothy Gardner, LPN Valid NPI

Individual provider · Pediatric Skilled Nursing Facility · Brooklyn, NY

NPI

1043672165

Type

Individual (Type 1)

Primary specialty

Pediatric Skilled Nursing Facility (Skilled Nursing Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

3140N1450X

License number

324886 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2016-03-28

Last updated

2016-03-28