Provider Demographics
NPI:1710432216
Name:MCELHINNEY, GABRIELLE SANDRA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:SANDRA
Last Name:MCELHINNEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:SANDRA
Other - Last Name:LEZAJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:275 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2708
Mailing Address - Country:US
Mailing Address - Phone:631-481-1630
Mailing Address - Fax:
Practice Address - Street 1:275 BROADWAY
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2708
Practice Address - Country:US
Practice Address - Phone:631-841-1630
Practice Address - Fax:631-841-2732
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist