National Provider Identifier
Jeffrey Louis Gardner, M.D.
Jeffrey Louis Gardner, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Elmira, NY and a listed phone number of (607) 271-3442.
Profile Overview
- NPI
- 1841363553
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- November 17, 2006
- Last Updated
- November 24, 2020
Practice Location
- 200 Madison Ave Ste 2D
- Elmira, NY 14901-3219
Phone: (607) 271-3442
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1841363553
- Entity Type
- Individual
- Last Name
- Gardner
- First Name
- Jeffrey
- Middle Name
- Louis
- Name Prefix
- Mr.
- Credential
- M.D.
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 200 Madison Ave Ste 2D
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3219
- Practice Country
- US
- Practice Phone
- (607) 271-3442
- Practice Fax
- (607) 271-3445
- Enumeration Date
- November 17, 2006
- Last Updated
- November 24, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 24, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 141766229 (NY, Tax I.D. Number), 26159 (NY, M.V.P. Healthcare Id), 01437750 (NY)