| Binu Chacko MD PC | |
|
366 N Broadway Suite Phe1 Jericho NY 11753-2020 | |
| (424) 242-2568 | |
| (516) 897-3099 |
| Full Name | Binu Chacko MD PC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 366 N Broadway, Jericho, New York |
| Authorized Official Name and Position | Binu Chacko (PHYSICIAN) |
| Authorized Official Contact | 4242422568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Binu Chacko MD PC 366 N Broadway Suite Phe1 Jericho NY 11753-2020 Ph: (424) 242-2568 | Binu Chacko MD PC 366 N Broadway Suite Phe1 Jericho NY 11753-2020 Ph: (424) 242-2568 |
| NPI Number | 1477433209 |
|---|---|
| Provider Enumeration Date | 09/03/2025 |
| Last Update Date | 10/23/2025 |
| Certification Date | 10/23/2025 |
| Medicare PECOS PAC ID | 5597261222 |
|---|---|
| Medicare Enrollment ID | O20251001004399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477433209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | Binu Chacko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265728398 PECOS PAC ID: 8224263355 Enrollment ID: I20131028000453 |
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