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1609247063
SHOBIN CHACKO
BRONX, NY
NPI
1609247063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019190-1)
Enumeration Date
2015-10-12
Last Update Date
2021-04-02
Business Address
SHOBIN CHACKO PA-C
1825 EASTCHESTER RD
BRONX, NY 10461-2301
Phone number: 718-904-2000
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Mailing Address
SHOBIN CHACKO PA-C
24 MONROVIA BLVD
TUCKAHOE, NY 10707-1024
Phone number:
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