Lissiamma Chacko is a Pediatrics in Jamaica, New York. Lissiamma Chacko practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lissiamma Chacko is 1134167919. The last update date is 2007-07-08.
Lissiamma Chacko's current location address is 18005 Hillside Ave, Jamaica, New York. You can contact this provider via phone number 7182626300 and fax number 7182627045. The mailing address for Lissiamma Chacko is 18005 Hillside Ave, Jamaica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lissiamma Chacko |
|---|---|
| Address | 18005 Hillside Ave, Jamaica, New York |
| Phone Number | 7182626300 |
| Fax Number | 7182627045 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134167919 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18005 Hillside Ave |
|---|---|
| City | Jamaica |
| State | New York (NY) |
| Post Code | 114324727 |
| Phone Number | 7182626300 |
| Fax Number | 7182627045 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 128491 |
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Definition: A pediatrician 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 237696 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lissiamma Chacko by the Centers for Medicare & Medicaid Services (CMS)?
The Lissiamma Chacko has been assigned the NPI (National Provider Identifier) 1134167919. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Lissiamma Chacko?
The Lissiamma Chacko is physically situated at 18005 Hillside Ave, in the city of Jamaica, state of NY, with the postal code 114324727.
What is Lissiamma Chacko's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lissiamma Chacko is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134167919 to Lissiamma Chacko?
The Lissiamma Chacko received its 1134167919 assignment from the Centers for Medicare & Medicaid Services on 2006-06-03.
As of what date was the information pertaining to Lissiamma Chacko, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lissiamma Chacko, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1215930425
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