RESHMA S CHACKO, AGPCNP-BC, Gerontology NEW HAVEN, CT

Contact Information

RESHMA S CHACKO, AGPCNP-BC

1 LONG WHARF DR
NEW HAVEN, CT 06511-5991

Phone: 203-688-8800
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	363LG0600X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for RESHMA S CHACKO · (Female)

NPI #	`1427514611`
Status	Active
Credentials	AGPCNP-BC
Entity	Individual
Enumeration date	02/13/2019
Last updated	10/08/2025 - About 8 months ago
Sole proprietor ¹	Yes
Identifiers	CT License # 8097
Hospital affiliation(s)	YALE-NEW HAVEN HOSPITAL - (Acute Care) 20 YORK ST NEW HAVEN, CT 06504

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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