Bordeaux, Christa Rebecca

Bordeaux, Christa Rebecca is an sole proprietor health care provider with primary practice located at 161 Centereach Mall , Centereach NY 11720-2750. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bordeaux, Christa Rebecca can be contacted via phone (631) 467-5347.

Contact Information

Primary practice address
161 Centereach Mall Centereach NY 11720-2750
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 057516 New York

Profile Details

NPI number 1679825285
LBN Legal business name Bordeaux, Christa Rebecca
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2012
Last updated Oct 5th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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