Individual
MR. BONG CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
133 ROUTE 303, VALLEY COTTAGE, NY 10989-5900
(845) 268-4765
Mailing address
133 ROUTE 303, VALLEY COTTAGE, NY 10989-5900
(845) 268-4765
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031550
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00540643
—
NY
Enumeration date
11/26/2007
Last updated
11/26/2007
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