Provider Demographics
NPI:1427609767
Name:CHOHMELIAN, LION
Entity type:Individual
Prefix:
First Name:LION
Middle Name:
Last Name:CHOHMELIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PINE ST APT 1503
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-1414
Mailing Address - Country:US
Mailing Address - Phone:718-786-0707
Mailing Address - Fax:
Practice Address - Street 1:20 PINE ST APT 1503
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-1414
Practice Address - Country:US
Practice Address - Phone:917-992-6863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059574183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist