Provider Demographics
NPI:1427696129
Name:CHECCO CHEW, MARY (MSPT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:CHECCO CHEW
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:CHEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:6 EXECUTIVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3791
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6 EXECUTIVE PARK DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3791
Practice Address - Country:US
Practice Address - Phone:518-512-3452
Practice Address - Fax:518-599-0071
Is Sole Proprietor?:No
Enumeration Date:2019-12-13
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist