Provider Demographics
NPI:1326229618
Name:FELDMAN, GILBERT (PHARMACIST IN CHARGE)
Entity Type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:PHARMACIST IN CHARGE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 MIDDLE COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11953-2524
Mailing Address - Country:US
Mailing Address - Phone:631-924-8500
Mailing Address - Fax:631-924-2041
Practice Address - Street 1:864 MIDDLE COUNTRY RD
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:MIDDLE ISLAND
Practice Address - State:NY
Practice Address - Zip Code:11953-2524
Practice Address - Country:US
Practice Address - Phone:631-924-8500
Practice Address - Fax:631-924-2041
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist