Nicolette, Gerald M

Nicolette, Gerald M is an individual health care provider with primary practice located at 300 W Manlius St , East Syracuse NY 13057-2547. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Nicolette, Gerald M can be contacted via phone (315) 434-9178.

Contact Information

Primary practice address
300 W Manlius St East Syracuse NY 13057-2547
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 27539 New York

Profile Details

NPI number 1821126756
LBN Legal business name Nicolette, Gerald M
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 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 1821126756 NPPES
New York Other 27539 PHARMACY LICENSE

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