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NPI Code Detail

MEDICARE: PHILIP CHUN

MEDICARE: PHILIP CHUN
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
1183500000XPharmacist067105NY

General Provider Information

NPI Number : 1447853551
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP CHUN
Provider Business Mailing Address
First Line : 4999 STATE HIGHWAY 30
Second Line :
City : AMSTERDAM
State : NY
Zip : 12010-7521
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4999 STATE HIGHWAY 30
Second Line :
City : AMSTERDAM
State : NY
Zip : 12010-7521
Country : US
Telephone Number : 518-843-6661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 09/24/2021

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Directions to “ PHILIP CHUN ” Practice Location

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