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Organization
JEFFREY B. CHICK M.D.P.C.
Active
Organization
JEFFREY B. CHICK M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BEECHAM CHICK M.D. (PRESIDENT)
(315) 579-2760
Entity
Organization
Contact information
Practice address
5528 LEGIONNIRE DRIVE, CICERO, NY 13209-2228
(315) 579-2760
(315) 579-2761
Mailing address
5528 LEGIONNAIRE DRIVE, CICERO, NY 13209-2228
(315) 579-2760
(315) 579-2761
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
127721-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00570434
—
NY
Enumeration date
11/09/2006
Last updated
08/06/2007
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