Provider Demographics
NPI:1194566927
Name:ONEILL, GERALD PATRICK (RPH, BS, MS, PHARMD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:PATRICK
Last Name:ONEILL
Suffix:
Gender:M
Credentials:RPH, BS, MS, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SUTTON PL S APT 10KS
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4168
Mailing Address - Country:US
Mailing Address - Phone:917-653-2441
Mailing Address - Fax:
Practice Address - Street 1:3940 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-3802
Practice Address - Country:US
Practice Address - Phone:718-752-6068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0309591835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology