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NPI Profile for Dr JUSTIN CHACKO in PLAINVIEW, NY.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1013363233 |
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| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 05/05/2016 | |
| Last updated | 05/05/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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JUSTIN CHACKO
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JUSTIN CHACKO, DO