Lissiamma Chacko, MD Valid NPI

Individual provider · Pediatrics Physician · Jamaica, NY

NPI

1134167919

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

128491 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2006-06-03

Last updated

2007-07-08