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

Dean Gardner

Individual provider Physical Therapist · NPI 1124415229

Dean Gardner is a Nurse Practitioner in Pulaski, New York. Qualified in 2019, 7 years ago. Practices with Northern Oswego County Health Services, Inc, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

61 Delano St
Pulaski, NY 13142-1400
Phone: (315) 298-6564
Fax: (315) 298-7488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F344984 (NY)
Physical Therapist Taxonomy 225100000X · Licence 023498 (NY)

Record details

NPI number1124415229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2015
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northern Oswego County Health Services, Inc. — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pulaski