Shivell Gardener

NPI #1003469164 in Plainview, New York

Provider Information

NPI Number: 1003469164
Entity Type: Individual
Name: Shivell Gardener
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 18, 2019
Last Updated: Jul 18, 2019

Practice Location

Address: 55 W AMES CT STE 100
City: Plainview
State: New York
ZIP Code: 11803-2304
Phone: (516) 822-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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