Individual
COLLEEN GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
440 9TH AVE, NEW YORK, NY 10001-1620
(212) 273-5700
Mailing address
34 CARMINE STREET APT 4, NEW YORK, NY 10014
(401) 497-4404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20 054624
NY
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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