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Shivell Gardener
Student in an Organized Health Care Education/Training Program in Plainview, New York
NPI 1003469164

Shivell Gardener is a Student in an Organized Health Care Education/Training Program based in Plainview, NY. Shivell Gardener practices in Plainview, NY. The NPI Number for Shivell Gardener is 1003469164 and holds a License No. (New York).

The current practice location address for Shivell Gardener is 55 W Ames Ct Ste 100, Plainview, NY and can be reached out via phone at 516-822-6111.

Location: 55 W Ames Ct Ste 100, Plainview, NY, 11803-2304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003469164
Provider Name
Shivell Gardener
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 W Ames Ct Ste 100, Plainview, NY, 11803-2304
Phone Number
516-822-6111
Fax Number
Provider Enumeration Date
07/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 W Ames Ct Ste 100
City
Plainview
State
New York
Zip
11803-2304
Phone Number
516-822-6111
Fax Number
person
Provider Business Mailing Address Details
Address
55 W Ames Ct Ste 100
City
Plainview
State
New York
Zip
11803-2304
Phone Number
516-822-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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