Individual
ADEEL SAMUEL GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
167 ROUTE 304, BARDONIA, NY 10954-2050
(845) 624-8080
Mailing address
40 PENNINGTON WAY, SPRING VALLEY, NY 10977-1417
(845) 321-5055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
095852
NY
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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