Nathan James Gardner in Latham - Physician Assistant
Nathan James Gardner - NPI 1700079662
Nathan James Gardner is a Physician Assistant in Latham, New York. Nathan James Gardner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nathan James Gardner is 1700079662. The last update date is 2021-05-19.
Nathan James Gardner's current location address is 711 Troy Schenectady Rd, Latham, New York. You can contact this provider via phone number 5187823700 and fax number 5187823799. The mailing address for Nathan James Gardner is 711 Troy Schenectady Rd, Latham, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan James Gardner |
|---|---|
| Address | 711 Troy Schenectady Rd, Latham, New York |
| Phone Number | 5187823700 |
| Fax Number | 5187823799 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1700079662 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2021-05-19 |
Provider Mailing Address Detail
| Address | 711 Troy Schenectady Rd |
|---|---|
| City | Latham |
| State | New York (NY) |
| Post Code | 121102442 |
| Phone Number | 5187823700 |
| Fax Number | 5187823799 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 23012060 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1436135 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Nathan James Gardner by the Centers for Medicare & Medicaid Services?
The Nathan James Gardner has been issued the NPI (National Provider Identifier) 1700079662 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Nathan James Gardner is physically located?
The Nathan James Gardner is physically situated at the following address: 711 Troy Schenectady Rd, Latham, NY, 121102442.
What is the area of specialization for Nathan James Gardner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nathan James Gardner is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did Nathan James Gardner receive its 1700079662 assignment?
The Nathan James Gardner was assigned its 1700079662 on 2007-08-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Nathan James Gardner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nathan James Gardner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-19.
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