Provider Demographics
NPI:1831360619
Name:TUOHY, GERARD MICHAEL (RPH)
Entity type:Individual
Prefix:MR
First Name:GERARD
Middle Name:MICHAEL
Last Name:TUOHY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 96TH ST
Mailing Address - Street 2:APT#: 8A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7520
Mailing Address - Country:US
Mailing Address - Phone:718-759-0934
Mailing Address - Fax:718-933-9050
Practice Address - Street 1:4463 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2501
Practice Address - Country:US
Practice Address - Phone:718-933-9010
Practice Address - Fax:718-933-9050
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist