| Doctor Name: | MR. JOHN WILLIAM GARDINER |
| NPI Number: | 1912047200 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T., M.P.H. |
| License Number: | 5249 |
| Business Practice Address: | 1 School St Suite 105a Glen Cove, NY - 115422545 |
| Business Phone Number: | 5166564824 |
| Business Fax Number: | 5166564833 |
| Mailing Address: | 1 School St, Suite 105a GLEN COVE |
| State: | NY |
| Postal Code: | 115422545 |
| Phone Number: | 5166564824 |
| Fax Number: | 5166564833 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 07/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5249 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |