DR. LAURA ELIZABETH GARDNER (NPI# 1912295932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912295932 |
| Entity Type | Individual |
| Full Name | DR. LAURA ELIZABETH GARDNER |
| Credential | M.D. |
| Practice Address |
111 E 210th St Bronx NY 10467-2401 |
| Practice Telephone | 7189202699 |
| Mailing Telephone | 7189202699 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
277195-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063800373 | Laura Beth Gardner | Registered Nurse | 7435 Sw 49th Ct, Portland, OR 97219-1493 | 2015-01-08 |
| 1881678209 | Laura Jones Gardner | Social Worker | 200 Country Club Dr Sw, Suite D-2, Blacksburg, VA 24060-5400 | 2005-11-30 |
| 1346801164 | Laura Devereaux Gardner | Physician Assistant | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2019-06-24 |
| 1700449352 | Laura J. Gardner | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2019-04-18 |
| 1932692027 | Laura Albachiara Gardner | Occupational Therapist | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2018-06-13 |
| 1992162408 | Laura Gardner | Social Worker | 212 Barney Dr, Joliet, IL 60435-5271 | 2016-01-28 |
| 1164810859 | Laura Michele Gardner | Marriage & Family Therapist | 1240 Powell St, Suite 2c, Emeryville, CA 94608-2600 | 2015-01-02 |
| 1639500978 | Laura Gardner | Advanced Practice Midwife | 7900 Henneman Way, Suite 100, Mckinney, TX 75070-2914 | 2013-12-12 |
| 1417219841 | Laura Mabe Gardner | Anesthesiology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2012-06-12 |
| 1851667588 | Laura Gardner | Counselor | 1735 Enterprise Dr, Fairfield, CA 94533-6822 | 2012-03-27 |
| Street Address |
111 E 210TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619373 | Caletha Dicks | Nurse Anesthetist, Certified Registered | 111 E 210th St, Bronx, NY 10467-2401 | 2005-06-14 |
| 1124629118 | Ali Liakat | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-05 |
| 1225639347 | Michael Boadu | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-04 |
| 1770183501 | Michelle Marsalisi | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-30 |
| 1598364606 | Denise Sarah Dailey | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-20 |
| 1619574167 | Amina Khan | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-07 |
| 1043817679 | Farzaneh Hosein Khezri | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-06 |
| 1366049330 | Shafaq Zaman Tarar | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-02 |
| 1972110450 | Assi Milwidsky | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-28 |
| 1518574243 | Sudhakar Basetty | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561214 | Stella Obiageli Ukadike | Psychiatry & Neurology | 1420 Waters Pl, Bronx, NY 10461-2719 | 2019-10-31 |
| 1821632092 | Nkechi Dorothy Nzekwe | Psychiatry & Neurology | 1430 Waters Pl, Bronx, NY 10461-2719 | 2019-10-31 |
| 1407369416 | Noor Kazi LLC | Psychiatry & Neurology | 679 East 138 Street, Bronx, Fl.1, Bronx, NY 10454 | 2017-11-13 |
| 1336683481 | Comprehensive Behavior Care Solutions PC | Psychiatry & Neurology | 3050 Corlear Ave Ph B, Bronx, NY 10463-5184 | 2016-12-08 |
| 1073957676 | Thomas C Yang | Psychiatry & Neurology | 1621 Eastchester Rd Ste 115, Bronx, NY 10461-2604 | 2013-04-25 |
| 1093088502 | Wingspan Psychiatric, LLC | Psychiatry & Neurology | 981 Morris Park Ave Apt 2a, Bronx, NY 10462-3766 | 2012-02-14 |
| 1598054298 | Alison Welch | Psychiatry & Neurology | 4401 Bronx Blvd Fl 3, Bronx, NY 10470-1407 | 2011-04-04 |
| 1295045151 | Holly Roberts | Psychiatry & Neurology | 2012 Grand Concourse, Bronx, NY 10456-1111 | 2010-10-13 |
| 1912216060 | Noble Ashworth Endicott Jr. | Psychiatry & Neurology | 600 W 246th St., (apt 1203), Bronx, NY 10471 | 2010-10-06 |
| 1194036160 | Clewert G. Sylvester | Psychiatry & Neurology | 111 East 210th Street Montefiore Medical Center, Anxiety & Depression Program (psychiatry), Bronx, NY 10467-2490 | 2010-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.