Jerry L Gardner in Niskayuna - Physician Assistant
Jerry L Gardner - NPI 1780611822
Jerry L Gardner is a Physician Assistant in Niskayuna, New York. Jerry L Gardner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jerry L Gardner is 1780611822. The last update date is 2021-05-19.
Jerry L Gardner's current location address is 2125 River Rd, Niskayuna, New York. You can contact this provider via phone number 5188363030 and fax number 5188363020. The mailing address for Jerry L Gardner is 2125 River Rd, Niskayuna, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry L Gardner |
|---|---|
| Address | 2125 River Rd, Niskayuna, New York |
| Phone Number | 5188363030 |
| Fax Number | 5188363020 |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1780611822 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2021-05-19 |
Provider Mailing Address Detail
| Address | 2125 River Rd |
|---|---|
| City | Niskayuna |
| State | New York (NY) |
| Post Code | 123091135 |
| Phone Number | 5188363030 |
| Fax Number | 5188363020 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9170 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810708 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry L Gardner by the Centers for Medicare & Medicaid Services?
The Jerry L Gardner has been assigned the NPI (National Provider Identifier) 1780611822. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerry L Gardner's physical address?
The Jerry L Gardner is physically located at 2125 River Rd, in the city of Niskayuna, NY, with the postal code 123091135.
What is Jerry L Gardner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry L Gardner's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780611822 to Jerry L Gardner?
The Jerry L Gardner received its 1780611822 assignment from the Centers for Medicare & Medicaid Services on 2006-06-26.
When was the information regarding Jerry L Gardner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry L Gardner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-05-19.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA