Individual
DR. ABRAHAM CHACKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 HAWK ST, SPRING VALLEY, NY 10977-6105
(917) 319-1008
Mailing address
7 HAWK ST, SPRING VALLEY, NY 10977-6105
(917) 319-1008
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
251235 DUP
NY
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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