JUSTIN CHACKO

PLAINVIEW, NY
NPI1013363233
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY  174003653)
Enumeration Date2016-05-05
Last Update Date2016-05-05
Business Address
Dr. JUSTIN CHACKO D.O.
888 OLD COUNTRY RD
PLAINVIEW, NY 11803-4914
Phone number: 516-719-3000
Mailing Address
Dr. JUSTIN CHACKO D.O.
1733 BARD LN
EAST MEADOW, NY 11554-1502
Phone number: 516-547-0474
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