Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALYSSA GARDNER
Active Sole ProprietorALYSSA GARDNER is a Sports Medicine (PM&R) healthcare provider located in KENMORE, New York. NPI 1013642081 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · KENMORE, NY
Registration Details
- NPI Number
- 1013642081
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2022 (4.1058027118856 yrs)
- Last Updated
- Jul 22, 2022
- License
-
2081S0010X (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
40 GOODYEAR ROADKENMORE, NY, 142171421Browse NY providers · Browse ZIP 14217
- Phone
- 7168030115
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.