Jeffrey B. Chick M.d.p.c.

NPI #1982774667 in Cicero, New York

Provider Information

NPI Number: 1982774667
Entity Type: Organization
Organization Name: Jeffrey B. Chick M.d.p.c.
Primary Specialty: Specialist
Enumeration Date: Nov 9, 2006
Last Updated: Aug 6, 2007

Practice Location

Address: 5528 LEGIONNIRE DRIVE
City: Cicero
State: New York
ZIP Code: 13209-2228
Phone: (315) 579-2760

Authorized Official

Name: JEFFREY BEECHAM CHICK, M.D.
Title: PRESIDENT
Phone: (315) 579-2760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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