Organization
PRECISION PAIN CARE AND REHABILITATION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CHACKO M.D. (PRESIDENT)
(516) 503-6553
Entity
Organization
Contact information
Practice address
1300 UNION TPKE, SUITE 203, NEW HYDE PARK, NY 11040-1764
(516) 503-6553
(718) 215-1889
Mailing address
1300 UNION TPKE, SUITE 203, NEW HYDE PARK, NY 11040-1764
(516) 503-6553
(718) 215-1889
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
256586
NY
208VP0000X
Pain Medicine Physician
256586
NY
208VP0014X
Interventional Pain Medicine Physician
266586
NY
Other
Enumeration date
12/16/2014
Last updated
11/22/2016
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