LEE R GARDNER

Dr LEE R GARDNER is a female medical professional, specializing in Psychiatry. She graduated in 1959 from Columbia University College Of Physicians And Surgeons.

Contact

54 FOREST RD
TENAFLY
NJ
076702229

Tel: 2015675532

LEE R GARDNER Information

Npi 1952412678
Pac Id 1759568207
Professional Enrollment Id I20110609000215
Last Name GARDNER
First Name LEE
Middle Name R
Suffix
Gender F
Credential
Medical School Name COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year 1959
Primary Specialty PSYCHIATRY
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Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 54 FOREST RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TENAFLY
State NJ
Zip Code 076702229
Phone Number 2015675532
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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