BENNY T CHACKO

STATEN ISLAND, NY
NPI1407170905
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  299431-1)
Enumeration Date2010-03-26
Last Update Date2010-03-26
Business Address
-- BENNY T CHACKO
62 BIRCHARD AVE
STATEN ISLAND, NY 10314-4137
Phone number: 718-698-4086
Mailing Address
-- BENNY T CHACKO
62 BIRCHARD AVE
STATEN ISLAND, NY 10314-4137
Phone number: 718-698-4086
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