Provider Demographics
NPI:1477433209
Name:BINU CHACKO, MD
Entity type:Organization
Organization Name:BINU CHACKO, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BINU
Authorized Official - Middle Name:
Authorized Official - Last Name:CHACKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:424-242-2568
Mailing Address - Street 1:366 N BROADWAY
Mailing Address - Street 2:SUITE PHE1
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2020
Mailing Address - Country:US
Mailing Address - Phone:424-242-2568
Mailing Address - Fax:516-897-3099
Practice Address - Street 1:366 N BROADWAY
Practice Address - Street 2:SUITE PHE1
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2020
Practice Address - Country:US
Practice Address - Phone:424-242-2568
Practice Address - Fax:516-897-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty