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NPI Code Detail

MEDICARE: MR. LONG (JONATHAN) MINH CHAO RPH MBA

MEDICARE:  MR. LONG (JONATHAN) MINH CHAO  RPH MBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist044139NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1044139OTHERNYNEW YORK STATE LICENSE

General Provider Information

NPI Number : 1881926327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LONG (JONATHAN) MINH CHAO RPH MBA
Provider Business Mailing Address
First Line : 207 GRAND ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-4276
Country : US
Telephone Number : 212-343-1252
Fax Number : 212-343-1252
Provider Business Practice Location Address
First Line : 207 GRAND ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-4276
Country : US
Telephone Number : 212-343-1252
Fax Number : 212-343-1252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2010
Last Update Date : 02/09/2010

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Directions to “ MR. LONG (JONATHAN) MINH CHAO RPH MBA” Practice Location

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