Individual
MICHAEL GADELOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10812 66TH AVE, FOREST HILLS, NY 11375-2242
(646) 250-6835
Mailing address
10812 66TH AVE, FOREST HILLS, NY 11375-2242
(646) 250-6835
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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