Provider Demographics
NPI:1518135714
Name:SCHICCHI, GABRIELLE JOY (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:GABRIELLE
Middle Name:JOY
Last Name:SCHICCHI
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 1:13 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-3519
Mailing Address - Country:US
Mailing Address - Phone:516-797-8365
Mailing Address - Fax:516-798-9785
Practice Address - Street 1:702 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-1260
Practice Address - Country:US
Practice Address - Phone:516-797-8365
Practice Address - Fax:516-798-9785
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051785OtherNYS LICENSE NUMBER