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NPI Code Detail

MEDICARE: MR. ROBERT CHONG

MEDICARE:  MR. ROBERT  CHONG
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
1183500000XPharmacist044534NY

General Provider Information

NPI Number : 1194057380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT CHONG
Provider Business Mailing Address
First Line : 25121 JAMAICA
Second Line :
City : BELLEROSE
State : NY
Zip : 11426-2218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25121 JAMAICA
Second Line :
City : BELLEROSE
State : NY
Zip : 11426-2218
Country : US
Telephone Number : 516-488-3998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2010
Last Update Date : 02/12/2010

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Directions to “ MR. ROBERT CHONG ” Practice Location

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