Individual
DR. JEFFREY K CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 UNION TPKE STE 203, NEW HYDE PARK, NY 11040-1759
(516) 419-4480
Mailing address
1300 UNION TPKE STE 203, NEW HYDE PARK, NY 11040-1759
(516) 419-4480
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
A256586-01
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
256586
NY
208VP0014X
Interventional Pain Medicine Physician
256586
NY
Other
Enumeration date
01/25/2009
Last updated
02/13/2024
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