Provider Demographics
NPI:1912035437
Name:BERNAT, GABRIELA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:
Last Name:BERNAT
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 1:4207 BERGENLINE AVE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4896
Mailing Address - Country:US
Mailing Address - Phone:201-867-6705
Mailing Address - Fax:201-867-3758
Practice Address - Street 1:4207 BERGENLINE AVE STE 1
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4896
Practice Address - Country:US
Practice Address - Phone:201-867-6705
Practice Address - Fax:201-867-3758
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02988800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI02988800OtherPHARMACY LICENSE