Individual
MR. TOM CHACKO JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
(718) 579-4620
Mailing address
LINCOLN MEDICAL CENTER, 234 EAST 149 STRETT, BRONX, NY 10451
(718) 579-5000
(718) 579-4620
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013259
NY
Other
Enumeration date
04/30/2009
Last updated
07/21/2022
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