NPI 1720315815

Gladys Bongat

Practitioner Pharmacy Technician Long Island City, NY

Practice location

Address: 1037 41st Ave, Long Island City, NY 11101-7346
Phone: (718) 707-0705
Fax: (718) 707-0706

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1720315815
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2009
Record last updated: 10 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.