Individual
DR. THOMAS KAYSEE CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7551
(315) 470-2719
Mailing address
5008 BRITTONFIELD PKWY, SUITE 100, EAST SYRACUSE, NY 13057-9248
(315) 234-7600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
220765
MA
2085R0202X
Diagnostic Radiology Physician
Primary
264859
NY
Other
Enumeration date
05/15/2007
Last updated
07/11/2012
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