Individual
ANGEL GAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2418
(718) 932-1000
Mailing address
14613 JASMINE AVE, FLUSHING, NY 11355-2249
(917) 669-1066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
073042-01
NY
Other
Enumeration date
07/03/2023
Last updated
10/01/2025
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