Lissiamma Chacko
MD | Pediatrics | Female
Lissiamma Chacko, MD is a Jamaica, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Lissiamma Chacko is
18005 Hillside Ave, Jamaica, New York - 11432-4727. She can be contacted on phone at
718-262-6300 and fax number 718-262-7045.
Lissiamma Chacko is a sole proprietor of her business.
NPI number (Unique professional ID) for Lissiamma Chacko is
1134167919 which was assigned by NPPES on 03 Jun, 2006 and it was last updated on 08 Jul, 2007.
Lissiamma Chacko license number is
128491 for Pediatrics (208000000X) in New York.
Lissiamma Chacko is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lissiamma Chacko basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lissiamma Chacko |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Lissiamma Chacko address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 18005 Hillside Ave
Jamaica, NY, 11432-4727
United States |
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| Phone Number : | 718-262-6300 |
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| Fax Number : | 718-262-7045 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134167919 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Jun, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lissiamma Chacko are as mentioned. Primary taxonomy code for Lissiamma Chacko, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 128491 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Lissiamma Chacko such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00237696 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1000 Zeckendorf Blvd
Garden City, NY, 11530-2133
United States |
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| Phone Number : | 516-542-6880 |
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| Fax Number : | 516-542-5556 |
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Business Location:
Patients can refer following map for directions to
Lissiamma Chacko practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.