Chacko, Mini

Chacko, Mini is an individual health care provider with primary practice located at 140 Old Orangeburg Rd , Orangeburg NY 10962-1157. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Chacko, Mini can be contacted via phone (845) 680-5704.

Contact Information

Primary practice address
140 Old Orangeburg Rd Orangeburg NY 10962-1157
Phone: (845) 680-5704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F403410-01 New York
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 593186-01 New York

Profile Details

NPI number 1730920737
LBN Legal business name Chacko, Mini
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2024
Last updated Jun 4th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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