Individual
DEBRA CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
381 BROADWAY STREET, MONTICELLO, NY 12701-1385
(845) 791-1130
(845) 791-1316
Mailing address
381 BROADWAY, MONTICELLO, NY 12701-1385
(845) 791-1130
(845) 791-1316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31199
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01789968
—
NY
Enumeration date
01/22/2008
Last updated
01/22/2008
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