| Mr Jeffrey Louis Gardner, MD | |
|
200 Madison Ave Ste 2d, Elmira, NY 14901-3219 | |
| (607) 271-3442 | |
| (607) 271-3445 |
| Full Name | Mr Jeffrey Louis Gardner |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 200 Madison Ave Ste 2d, Elmira, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841363553 | NPI | - | NPPES |
| 141766229 | Other | NY | TAX I.D. NUMBER |
| 26159 | Other | NY | M.V.P. HEALTHCARE ID |
| 01437750 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 169951 (New York) | Primary |
| Entity Name | Arnot Ogden Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083605661 PECOS PAC ID: 5395798417 Enrollment ID: O20061003000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Louis Gardner, MD 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Mr Jeffrey Louis Gardner, MD 200 Madison Ave Ste 2d, Elmira, NY 14901-3219 Ph: (607) 271-3442 |
John J Novotny, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Madison Ave Ste 1a, Elmira, NY 14901 Phone: 607-734-4110 Fax: 607-733-3357 | |
Dr. Lakshmi Bhaskar Biradavolu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Madison Ave, Suite 2b, Elmira, NY 14901 Phone: 607-732-1310 Fax: 607-733-0940 | |
Kurt L Krause, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 302 Hoffman St, Elmira, NY 14905 Phone: 607-734-2264 Fax: 607-767-0340 | |
Jonathan R Homuth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 302 Hoffman St, Elmira, NY 14905 Phone: 607-734-2264 Fax: 607-767-0340 | |
Mary B Muse, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 302 Hoffman St, Elmira, NY 14905 Phone: 607-734-2264 Fax: 607-767-0340 | |
Thomas C Finnerty, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 965 W Church St, Elmira, NY 14905 Phone: 607-737-0200 | |
Stephen J Eberhard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 302 Hoffman St, Elmira, NY 14905 Phone: 607-734-2264 Fax: 607-767-0340 |