Individual
MS. MERLIN CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
(212) 241-6500
Mailing address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
(718) 926-8200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311226-01
NY
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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