Organization
VARUGHESE CHACKO MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARUGHESE CHACKO MD (OWNER)
(516) 417-5663
Entity
Organization
Contact information
Practice address
1575 HILLSIDE AVE, SUITE 100, NEW HYDE PARK, NY 11040-2501
(516) 417-5663
Mailing address
54 KNOLLS DR N, MANHASSET HILLS, NY 11040-1143
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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