Individual provider · Type 1 NPI
Mini Chacko
Adult Psychiatric/Mental Health Registered Nurse · Orangeburg, NY
NPI number
1730920737
Active
Practice location
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403410-01 (NY) |
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 593186-01 (NY) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1730920737
Mini Chacko's National Provider Identifier is 1730920737, issued on Jun 4, 2024. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Orangeburg, NY. The record was last updated on Jun 4, 2024.