Jeffrey Louis Gardner, M.D. Valid NPI

Individual provider · Pediatrics Physician · Elmira, NY

NPI

1841363553

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

169951 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-11-17

Last updated

2020-11-24