Provider Demographics
NPI:1538939889
Name:CHALO PSYCHIATRY P.C.
Entity type:Organization
Organization Name:CHALO PSYCHIATRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSY
Authorized Official - Middle Name:JAMSHED
Authorized Official - Last Name:COLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-395-5614
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-0161
Mailing Address - Country:US
Mailing Address - Phone:718-753-4585
Mailing Address - Fax:718-540-6243
Practice Address - Street 1:812 BONNIE DR
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-4521
Practice Address - Country:US
Practice Address - Phone:516-395-5614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty