MEDICARE: DR. GERALD PATRICK ONEILL RPH, BS, MS, PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835X0200X	Oncology Pharmacist	030959	NY

General Provider Information

NPI Number	:	1194566927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD PATRICK ONEILL RPH, BS, MS, PHARMD

Provider Business Mailing Address
First Line	:	60 SUTTON PL S APT 10KS
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4168
Country	:	US
Telephone Number	:	917-653-2441
Fax Number	:

Provider Business Practice Location Address
First Line	:	3940 CRESCENT ST
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-3802
Country	:	US
Telephone Number	:	718-752-6068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	06/05/2024

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