Individual
ILENE CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7118 KISSENA BLVD, FLUSHING, NY 11367-2720
(718) 793-3400
Mailing address
15228 JEWEL AVE, FLUSHING, NY 11367-1436
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
063258
NY
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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