Individual
PHILIP CHAFE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4066
(315) 785-4666
Mailing address
376 EAST KIRBY STREET, DEXTER, NY 13634-0173
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
219172
NY
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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