Individual
DR. ELIZABETH MATHEWS CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 EAST 98TH STREET, NEW YORK, NY 10029
(212) 241-8210
(484) 664-7864
Mailing address
2 CLEARMEADOW LN, WOODBURY, NY 11797-1116
(516) 603-9061
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
249237-1
NY
2080P0205X
Pediatric Endocrinology Physician
MD453912
PA
Other
Enumeration date
01/12/2009
Last updated
03/12/2019
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