MEDICARE: GLADYS BRITO 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	183500000X	Pharmacist	049970-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891976932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLADYS BRITO PHARMD

Provider Business Mailing Address
First Line	:	2170 FREDERICK DOUGLASS BLVD
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10026-1149
Country	:	US
Telephone Number	:	212-666-3013
Fax Number	:	212-666-3077

Provider Business Practice Location Address
First Line	:	2170 FREDERICK DOUGLASS BLVD
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10026-1149
Country	:	US
Telephone Number	:	212-666-3013
Fax Number	:	212-666-3077

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

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	11/16/2007

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