Individual
DR. CHANTELLE SPIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
433 RIVER ST, TROY, NY 12180-2250
(518) 810-8260
Mailing address
18 HOLLANDALE LN APT F, CLIFTON PARK, NY 12065-5211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053543
NY
Other
Enumeration date
03/14/2010
Last updated
03/14/2010
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