National Provider Identifier
Alyssa Gardner
Alyssa Gardner is listed in the NPPES registry with a primary specialty of Sports Medicine (Physical Medicine & Rehabilitation) Physician in Kenmore, NY and a listed phone number of (716) 803-0115.
Profile Overview
- NPI
- 1013642081
- Provider Type
- Individual
- Primary Specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Enumeration Date
- July 22, 2022
- Last Updated
- July 22, 2022
Practice Location
- 40 Goodyear Road
- Kenmore, NY 14217-1421
Phone: (716) 803-0115
Mailing Address
- 2933 Delaware Ave Apt 4
- Kenmore, NY 14217-2336
Specialties
- Sports Medicine (Physical Medicine & Rehabilitation) Physician (2081S0010X)
Full Record
- NPI
- 1013642081
- Entity Type
- Individual
- Last Name
- Gardner
- First Name
- Alyssa
- Mailing Street Address
- 2933 Delaware Ave Apt 4
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2336
- Mailing Country
- US
- Mailing Phone
- (716) 803-0115
- Practice Street Address
- 40 Goodyear Road
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1421
- Practice Country
- US
- Practice Phone
- (716) 803-0115
- Enumeration Date
- July 22, 2022
- Last Updated
- July 22, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 12, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) Physician (2081S0010X)