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Individual

ROBIN S CHIRACKAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 W 58TH ST STE 509, NEW YORK, NY 10019-1819
(212) 994-5100
(212) 994-5101
Mailing address
565 NEW BRUNSWICK AVE STE 101, FORDS, NJ 08863-2162
(212) 994-5100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8218
NE
207Q00000X
Family Medicine Physician
BP10061266
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
318362
NY
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
318362
NY

Other

Enumeration date
05/31/2017
Last updated
06/27/2024
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