Provider Demographics
NPI:1285815852
Name:SPINNELL, GILBERT MILES (RPH)
Entity Type:Individual
Prefix:
First Name:GILBERT
Middle Name:MILES
Last Name:SPINNELL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 E JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7502
Mailing Address - Country:US
Mailing Address - Phone:631-425-6215
Mailing Address - Fax:631-425-6217
Practice Address - Street 1:695 E JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-7502
Practice Address - Country:US
Practice Address - Phone:631-425-6215
Practice Address - Fax:631-425-6217
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist