Rodriguez, Gabriel Esteban

Rodriguez, Gabriel Esteban is an individual health care provider with primary practice located at 2799 Route 112 , Medford NY 11763-2535. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Rodriguez, Gabriel Esteban can be contacted via phone (631) 758-2800.

Contact Information

Primary practice address
2799 Route 112 Medford NY 11763-2535
Phone: (631) 758-2800
Fax: (631) 758-2804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 037587-1 New York

Profile Details

NPI number 1073793352
LBN Legal business name Rodriguez, Gabriel Esteban
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Nov 5th, 2007 - about 18 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 1073793352 NPPES
New York MEDICAID 00968621

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