Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Gardner

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1013642081

Alyssa Gardner is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Kenmore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

40 Goodyear Rd
Kenmore, NY 14217-1421
Phone: (716) 803-0115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 2081S0010X (NY)

Record details

NPI number1013642081
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 22, 2022
Last updated in NPPESJuly 22, 2022
Certification dateJuly 12, 2022
Mailing address2933 Delaware Ave Apt 4, Kenmore, NY 14217-2336