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Organization
PRECISION PAIN CARE AND REHABILITATION P.C.
Active
Organization
PRECISION PAIN CARE AND REHABILITATION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CHACKO M.D. (PRESIDENT)
(516) 503-6553
Entity
Organization
Contact information
Practice address
1300 UNION TPKE, SUITE 203, NEW HYDE PARK, NY 11040-1764
(516) 503-6553
(718) 215-1889
Mailing address
1300 UNION TPKE, SUITE 203, NEW HYDE PARK, NY 11040-1764
(516) 503-6553
(718) 215-1889
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
256586
NY
208VP0000X
Pain Medicine Physician
256586
NY
208VP0014X
Interventional Pain Medicine Physician
266586
NY
Other
Enumeration date
12/16/2014
Last updated
11/22/2016
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