Individual
MRS. KUNJAMMA POIKAYIL CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6000
Mailing address
6 ASHLEY CT, ALBERTSON, NY 11507-1120
(516) 484-0923
(516) 484-0923
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
410262-1
NY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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