Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesusa Gervacio

Individual provider Pharmacist · NPI 1952626038

Jesusa Gervacio is a Pharmacist in Queens, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
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Practice location Address checks out

21 09 30 Ave Astoria
Queens, NY 11102
Phone: (718) 278-6597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 043173 (NY)

Record details

NPI number1952626038
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2010
Last updated in NPPESApril 1, 2010

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