Individual
DANIEL CHAUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 30TH AVE, ASTORIA, NY 11103-4601
(718) 721-3475
Mailing address
3222 48TH ST APT 1R, ASTORIA, NY 11103-1706
(646) 520-9397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
068202
NY
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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