Healthcare Provider Details
I. General information
NPI: 1942294566
Provider Name (Legal Business Name): ERNEST GARNIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/09/2005
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2171 NOSTRAND AVE
BROOKLYN NY
11210-3025
US
IV. Provider business mailing address
445 LENOX RD BOX 1262
BROOKLYN NY
11203-2017
US
V. Phone/Fax
- Phone: 718-758-8920
- Fax:
- Phone: 718-758-8920
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 223541 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 223541-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: