Provider Demographics
NPI:1639492333
Name:MARRONE, GASPER ALFRED (BSPHARMACY)
Entity Type:Individual
Prefix:MR
First Name:GASPER
Middle Name:ALFRED
Last Name:MARRONE
Suffix:
Gender:M
Credentials:BSPHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8716 FLATLANDS AVENUE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3610
Mailing Address - Country:US
Mailing Address - Phone:718-649-0062
Mailing Address - Fax:
Practice Address - Street 1:102-02 FLATLANDS AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3610
Practice Address - Country:US
Practice Address - Phone:718-257-1099
Practice Address - Fax:718-257-5110
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist