Individual
CYNTHIA CHISOM MGBEOJIRIKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N MAIN ST, PORT CHESTER, NY 10573-4210
(914) 934-1580
(914) 934-1586
Mailing address
107 N MAIN ST, PORT CHESTER, NY 10573-4210
(914) 937-1580
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066423
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669010336
—
NY
Enumeration date
12/12/2019
Last updated
01/18/2023
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