Provider Demographics
NPI:1215488218
Name:FRANZESE, GABRIELLA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GABRIELLA
Middle Name:
Last Name:FRANZESE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2234
Mailing Address - Country:US
Mailing Address - Phone:516-984-3120
Mailing Address - Fax:
Practice Address - Street 1:1760 MERRICK AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2728
Practice Address - Country:US
Practice Address - Phone:516-378-5521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist