Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
55 W AMES CT STE 100
PLAINVIEW, NY 11803-2304 US

Shivell Gardener

Student

Overview

Shivell Gardener is a Student in the PLAINVIEW area. Shivell Gardener primary office location is at 55 W AMES CT STE 100 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003469164 and the information was updated approximately 5 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
55 W AMES CT STE 100
PLAINVIEW, NY 11803-2304 US
Phone: (516)-822-6111
Fax:
Practice Mailing Information
55 W AMES CT STE 100
PLAINVIEW, NY 11803-2304 US
Phone:
Fax:

No Licenses found


No Identifiers found

TaxonomyStatePrimary?
Student - Taxonomy Code 390200000X --Y

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