Individual
GLADYS BONGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 41ST AVE, LONG ISLAND CITY, NY 11101-7346
(718) 707-0705
(718) 707-0706
Mailing address
1037 41ST AVE, LONG ISLAND CITY, NY 11101-7346
(718) 707-0705
(718) 707-0706
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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