Mathew Meloottu Chacko MD

NPI 1407956907 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1407956907
Gender Male
Enumeration Date 09/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
222 E MAIN ST
SIUTE 101
SMITHTOWN NY, 11787-2871, US
Phone (631) 360-0303
Fax (631) 360-2815
Business Location
222 E MAIN ST
SIUTE 101
SMITHTOWN NY, 11787-2871, US
Phone (631) 360-0303
Fax (631) 360-2815
Toxanomy
Taxonomy Code 2084N0400X
License State New York
License Number 149174
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According to our database, Dr. Mathew Meloottu Chacko MD NPI is 1407956907, taxonomy code is 2084N0400X and license number is 149174, license state is located at New York. Mathew Meloottu Chacko MD physically located at 222 E Main St, Smithtown NY, 11787-2871. NPI Number Mathew Meloottu Chacko MD has the Individual type.

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1407956907 NPI number is provided on an as is basis without warranty of any kind. 1407956907 is maintained by the National Plan & Provider Enumeration System. The contents of Mathew Meloottu Chacko MD are for informational purposes only.