JERRIN CHACKO

RICHMOND HILL, NY
NPI1104593169
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  403669)
Enumeration Date2021-08-26
Last Update Date2021-08-26
Business Address
Mr. JERRIN CHACKO PMHNP
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418-2832
Phone number: 718-206-6000
Mailing Address
Mr. JERRIN CHACKO PMHNP
8624 MUSKET ST
QUEENS VILLAGE, NY 11427-2718
Phone number:
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