MINI CHACKO

ORANGEBURG, NY
NPI1730920737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NY  593186-01)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F403410-01)
Enumeration Date2024-06-04
Last Update Date2024-06-04
Business Address
MINI CHACKO
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962-1157
Phone number: 845-680-5704
Mailing Address
MINI CHACKO
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962-1157
Phone number: 845-680-5704