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Contact Information

MASON CHACKO, MD
101 NICOLLS RD
STONY BROOK, NY11794-8408
 Phone: 631-444-3604
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MASON CHACKO · (Male)

NPI Number 1932417706
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2010
Last updated 02/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 258527
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
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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