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Dr. Justin Chacko, DO
Student in an Organized Health Care Education/Training Program in Plainview, New York
NPI 1013363233

Justin Chacko is a Student in an Organized Health Care Education/Training Program based in East Meadow, NY. Justin Chacko practices in Plainview, NY and has the professional credentials of DO. The NPI Number for Justin Chacko is 1013363233 and holds a License No. 174003653 (New York).

The current practice location address for Justin Chacko is 888 Old Country Rd, Plainview, NY and can be reached out via phone at 516-719-3000.

Location: 888 Old Country Rd, Plainview, NY, 11554-1502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013363233
Provider Name
Justin Chacko
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
888 Old Country Rd, Plainview, NY, 11554-1502
Phone Number
516-719-3000
Fax Number
Provider Enumeration Date
05/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
888 Old Country Rd
City
Plainview
State
New York
Zip
11803-4914
Phone Number
516-719-3000
Fax Number
person
Provider Business Mailing Address Details
Address
888 Old Country Rd
City
Plainview
State
New York
Zip
11803-4914
Phone Number
516-719-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
174003653 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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