Provider Demographics
NPI:1255120515
Name:JEFFRIES, CHANDA (PHLEBOTOMIST)
Entity type:Individual
Prefix:MRS
First Name:CHANDA
Middle Name:
Last Name:JEFFRIES
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 939
Mailing Address - Street 2:
Mailing Address - City:WHEATLEY HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11798-0939
Mailing Address - Country:US
Mailing Address - Phone:631-901-4473
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 939
Practice Address - Street 2:
Practice Address - City:WHEATLEY HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11798-0939
Practice Address - Country:US
Practice Address - Phone:631-901-4473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-03
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy