Individual provider · Type 1 NPI

Justin Chacko, DO

Student in an Organized Health Care Education/Training Program · Plainview, NY

NPI number 1013363233 Active

Practice location

888 Old Country Rd
Plainview, NY 11803-4914

Call (516) 719-3000 Map

Mailing address

1733 Bard Ln
East Meadow, NY 11554-1502

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X174003653 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013363233

Justin Chacko, DO's National Provider Identifier is 1013363233, issued on May 5, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plainview, NY. The record was last updated on May 5, 2016.