Individual
BARBARA CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
273 PINE HOLLOW RD, OYSTER BAY, NY 11771-4707
(516) 624-7050
(516) 624-7057
Mailing address
10 THOMAS LN, NORTHPORT, NY 11768-1639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048892-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00366032
—
NY
Enumeration date
03/26/2008
Last updated
03/27/2012
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