National Provider Identifier
Samuel Gardner, DC
Samuel Gardner, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Olean, NY and a listed phone number of (716) 790-9173.
Profile Overview
- NPI
- 1386378677
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- July 12, 2022
- Last Updated
- July 19, 2022
Practice Location
- 1615 W State St
- Olean, NY 14760-3368
Phone: (716) 790-9173
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1386378677
- Entity Type
- Individual
- Last Name
- Gardner
- First Name
- Samuel
- Credential
- DC
- Mailing Street Address
- 1615 W State St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-3368
- Mailing Country
- US
- Mailing Phone
- (716) 790-9173
- Practice Street Address
- 1615 W State St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-3368
- Practice Country
- US
- Practice Phone
- (716) 790-9173
- Practice Fax
- (716) 790-9392
- Enumeration Date
- July 12, 2022
- Last Updated
- July 19, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 19, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)