Provider Demographics
NPI:1184956757
Name:CHIFFY, ANTHONY C II (RPH)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:C
Last Name:CHIFFY
Suffix:II
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 1:25 DEERPATH DR
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-3417
Mailing Address - Country:US
Mailing Address - Phone:315-792-4753
Mailing Address - Fax:
Practice Address - Street 1:1256 ALBANY ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-4252
Practice Address - Country:US
Practice Address - Phone:315-735-3525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039817183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist