| Benny T Chacko, | |
|
62 Birchard Ave, Staten Island, NY 10314-4137 | |
| (718) 698-4086 | |
| Not Available |
| Full Name | Benny T Chacko |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 62 Birchard Ave, Staten Island, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407170905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 299431-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Benny T Chacko, 62 Birchard Ave, Staten Island, NY 10314-4137 Ph: (718) 698-4086 | Benny T Chacko, 62 Birchard Ave, Staten Island, NY 10314-4137 Ph: (718) 698-4086 |
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Marie Simpkins I, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 Daniel Low Ter, 2g, Staten Island, NY 10301 Phone: 347-720-0098 | |
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