Individual
S RICHARD CHAZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
24 KELLOGG RD, NEW HARTFORD, NY 13413-2800
(315) 732-8616
(315) 793-0712
Mailing address
24 KELLOGG RD, NEW HARTFORD, NY 13413-2800
(315) 732-8616
(315) 793-0712
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
102952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00178336
—
NY
Enumeration date
07/08/2006
Last updated
01/20/2011
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