Individual provider · Type 1 NPI

Tyjuan Mekkhi Gardner

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1063244697 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Call (212) 305-6100 Map

Mailing address

60 Haven Ave
New York, NY 10032-2604

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1063244697

Tyjuan Mekkhi Gardner's National Provider Identifier is 1063244697, issued on Aug 14, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Aug 14, 2024.