Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NICOLE MARIE GARDOCKI, PA-C
ActiveMS. NICOLE MARIE GARDOCKI, PA-C is a Adolescent Medicine healthcare provider located in MERRICK, New York. NPI 1720551229 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · MERRICK, NY
Registration Details
- NPI Number
- 1720551229
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2019 (7.6332204012928 yrs)
- Last Updated
- Jan 7, 2019
- License
-
023060-1 (NY)
Practice Information
- Address
-
389 MERRICK AVEMERRICK, NY, 115662723Browse NY providers · Browse ZIP 11566
- Phone
- 5168675132
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.