Locicero, Gabriella M

Locicero, Gabriella M is an individual health care provider with primary practice located at 198 W Merrick Rd , Valley Stream NY 11580-5512. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Locicero, Gabriella M can be contacted via phone (516) 561-1873.

Contact Information

Primary practice address
198 W Merrick Rd Valley Stream NY 11580-5512
Fax: (516) 561-1428
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0396051 New York

Profile Details

NPI number 1770765042
LBN Legal business name Locicero, Gabriella M
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Nov 28th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770765042 NPPES
New York MEDICAID 00397035

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