Individual
DR. ANIL CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
ONE GUSTAVE L. LEVY PLACE, BOX 1230, NEW YORK, NY 10029
(716) 982-2464
Mailing address
ONE GUSTAVE L. LEVY PLACE, BOX 1230, NEW YORK, NY 10029
(716) 982-2464
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
017732-1
NY
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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