LORENZ CHACKO CHAKKADAVIL

QUEENS VILLAGE, NY
NPI1578435822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY  818800-01)
Enumeration Date2025-09-18
Last Update Date2025-09-18
Business Address
Mr. LORENZ CHACKO CHAKKADAVIL
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 718-264-4050
Mailing Address
Mr. LORENZ CHACKO CHAKKADAVIL
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 718-264-4050
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