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Individual

CELIN CHACKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 BAINBRIDGE AVE, BRONX, NY 10467-2404
(718) 920-7536
(718) 652-5402
Mailing address
3400 BAINBRIDGE AVE, BRONX, NY 10467-2404
(718) 920-7536
(718) 652-5402

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
261414-1
NY

Other

Enumeration date
02/07/2007
Last updated
02/13/2015
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