Individual
JACKIE LYNN CHIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-A
Contact information
Practice address
2 FLETCHER ST, GOSHEN, NY 10924-1402
(845) 294-8806
(845) 294-8650
Mailing address
3163 STATE ROUTE 42, MONTICELLO, NY 12701-4858
(845) 794-7966
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001373
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10106806
CDPHP
NY
01
—
87766
GHI
NY
01
—
9Y3021
EMPIREBLUECROSSBLUESHIELD
NY
Enumeration date
12/01/2006
Last updated
07/08/2007
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