LISSIAMMA CHACKO

JAMAICA, NY
NPI1134167919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NY  128491)
Enumeration Date2006-06-03
Last Update Date2007-07-08
Business Address
-- LISSIAMMA CHACKO MD
18005 HILLSIDE AVE
JAMAICA, NY 11432-4727
Phone number: 718-262-6300
Mailing Address
-- LISSIAMMA CHACKO MD
1000 ZECKENDORF BLVD
GARDEN CITY, NY 11530-2133
Phone number: 516-542-6880
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