Individual
DR. MARK ANDREW CHANASUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 ROCKLEDGE AVE, OSSINING, NY 10562-5960
(914) 944-5220
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1700
(314) 627-7225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2024022228
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200143059
—
MO
Enumeration date
04/03/2019
Last updated
03/24/2026
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