MEDICARE: MR. SHLOMO CHAYA

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
1	183500000X	Pharmacist	063305	NY

General Provider Information

NPI Number	:	1477069268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHLOMO CHAYA

Provider Business Mailing Address
First Line	:	2314 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3350
Country	:	US
Telephone Number	:	718-375-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2314 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3350
Country	:	US
Telephone Number	:	718-375-5700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2017
Last Update Date	:	03/15/2021

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Directions to “ MR. SHLOMO CHAYA ” Practice Location

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