Gervacio, Jesusa

Gervacio, Jesusa is an sole proprietor health care provider with primary practice located at 21 09 30 Ave Astoria, Queens NY 11102. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gervacio, Jesusa can be contacted via phone (718) 278-6597.

Contact Information

Primary practice address
21 09 30 Ave Astoria Queens NY 11102
Phone: (718) 278-6597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 043173 New York

Profile Details

NPI number 1952626038
LBN Legal business name Gervacio, Jesusa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2010
Last updated Apr 1st, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers