Provider Demographics
NPI:1952990665
Name:GLEYZER, GABRIELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:GLEYZER
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 1:321 MAYFAIR DR N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6715
Mailing Address - Country:US
Mailing Address - Phone:347-782-9635
Mailing Address - Fax:
Practice Address - Street 1:922 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-8402
Practice Address - Country:US
Practice Address - Phone:718-649-0499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI067523183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist