MR. Jerry L Gardner, RPA-C

NPI #1780611822 in Niskayuna, New York

Provider Information

NPI Number: 1780611822
Entity Type: Individual
Name: MR. Jerry L Gardner, RPA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: RPA-C
Enumeration Date: Jun 26, 2006
Last Updated: May 19, 2021

Practice Location

Address: 2125 RIVER RD
Address 2: SUITE 100
City: Niskayuna
State: New York
ZIP Code: 12309-1135
Phone: (518) 836-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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