MEDICARE: MS. ZIPORA ESTHER CHAPNICK-WHITMAN

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	039919-1	NY

General Provider Information

NPI Number	:	1871770396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ZIPORA ESTHER CHAPNICK-WHITMAN

Provider Business Mailing Address
First Line	:	5411 18TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1928
Country	:	US
Telephone Number	:	718-331-3600
Fax Number	:	718-331-3099

Provider Business Practice Location Address
First Line	:	5411 18TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1928
Country	:	US
Telephone Number	:	718-331-3600
Fax Number	:	718-331-3600

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

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	01/28/2008

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