Provider Demographics
NPI:1861645756
Name:CHIFFY, VINCENT (RPH)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:
Last Name:CHIFFY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CHRISTINE CT
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-3402
Mailing Address - Country:US
Mailing Address - Phone:315-735-3711
Mailing Address - Fax:
Practice Address - Street 1:350 LELAND AVE
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-2327
Practice Address - Country:US
Practice Address - Phone:315-624-9988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist