Provider Demographics
NPI:1548270382
Name:CHAFFEY, DEANNA H (RPH)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:H
Last Name:CHAFFEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 GILDERSLEEVE ST
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2503
Mailing Address - Country:US
Mailing Address - Phone:516-972-9044
Mailing Address - Fax:
Practice Address - Street 1:20 MERRICK RD
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-3455
Practice Address - Country:US
Practice Address - Phone:631-691-0428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043752-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist