DR. JUSTIN CHACKO, D.O.
Student, Health Care at Old Country Rd, Hicksville, NY

License number
New York 174003653
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
Address
Address 2
888 Old Country Rd, Hicksville, NY 11803
1733 Bard Ln, Hempstead, NY 11554
Phone
(516) 719-3000
(516) 547-0474
National Provider ID: 1013363233
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Justin Chacko, age 33
1733 Bard Ln, East Meadow, NY 11554
Justin Chacko, age 66
2030 Byron Ave, Elmont, NY 11003
(516) 285-8462

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