National Provider Identifier Database

MATHEW M CHACKO, MD – NPI #1407956907
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

MATHEW M CHACKO, MD
222 E MAIN ST
SIUTE 101
SMITHTOWN, NY11787-2871
Phone: 631-360-0303
Fax: 631-360-2815
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for MATHEW M CHACKO

NPI Number 1407956907
Credentials MD
Entity Individual
Enumeration date 09/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 149174
  • NY Medicaid: 00893614
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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