Healthcare Provider Details

I. General information

NPI: 1184544199
Provider Name (Legal Business Name): GABRIELA RESTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 DEVINE ST
NORTH HAVEN CT
06473-2195
US

IV. Provider business mailing address

26 PERRI LN
BROAD BROOK CT
06016-9651
US

V. Phone/Fax

Practice location:
  • Phone: 203-230-3940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0017195
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: