Organization
PRECISION PAIN CARE AND REHABILITATION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY K CHACKO (PRESIDENT)
(718) 581-5599
Entity
Organization
Contact information
Practice address
8611 LEFFERTS BLVD, SUITE 3B, RICHMOND HILL, NY 11418-2536
(718) 581-5599
(718) 880-1374
Mailing address
1300 UNION TPKE, SUITE 203, NEW HYDE PARK, NY 11040-1764
(718) 581-5599
(718) 880-1374
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
256586
NY
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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