Individual
ANOOP CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3244 31ST ST, ASTORIA, NY 11106-2561
(718) 707-6970
(718) 707-6977
Mailing address
7324 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-4137
(718) 268-2888
(718) 268-2889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042614
NY
Other
Enumeration date
12/01/2017
Last updated
04/29/2019
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