Jessy Chacko, PA Valid NPI

Individual provider · Surgical Physician Assistant · Manhasset, NY

NPI

1760727663

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

015945 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2012-12-03

Last updated

2013-04-02