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Individual

DR. DEAN COLE CHASKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18005 HILLSIDE AVE, JAMAICA, NY 11432-4727
(718) 526-6300
(718) 262-7064
Mailing address
55 WATER STREET, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
150839
NY
207R00000X
Internal Medicine Physician
Primary
150839
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00742636
NY
Enumeration date
08/21/2005
Last updated
09/21/2021
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