Chin, Debra
Chin, Debra is an sole proprietor health care provider with primary practice located at 381 Broadway Street , Monticello NY 12701-1385. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Chin, Debra can be contacted via phone (845) 791-1130.Contact Information
Primary practice address
381 Broadway Street
Monticello NY 12701-1385
Phone: (845) 791-1130
Fax: (845) 791-1316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 31199 | New York |
Profile Details
| NPI number | 1124204144 |
|---|---|
| LBN Legal business name | Chin, Debra |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2008 |
| Last updated | Jan 22nd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124204144 | NPPES |
| New York | MEDICAID | 01789968 |
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