Chin, Bong

Chin, Bong is an individual health care provider with primary practice located at 133 Route 303 , Valley Cottage NY 10989-5900. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Chin, Bong can be contacted via phone (845) 268-4765.

Contact Information

Primary practice address
133 Route 303 Valley Cottage NY 10989-5900
Phone: (845) 268-4765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 031550 New York

Profile Details

NPI number 1417138918
LBN Legal business name Chin, Bong
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated Nov 26th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417138918 NPPES
New York MEDICAID 00540643

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