Individual
NICHOLAS BILELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUP RPH
Contact information
Practice address
524 S BROADWAY, HICKSVILLE, NY 11801-5013
(516) 433-7115
(516) 433-2738
Mailing address
524 S BROADWAY, HICKSVILLE, NY 11801-5013
(516) 433-7115
(516) 433-2738
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025543
NY
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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