MEDICARE: DANIELA CHOCRON DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	065247	NY

General Provider Information

NPI Number	:	1326691635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA CHOCRON DDS

Provider Business Mailing Address
First Line	:	340 E 90TH ST APT 4C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-5131
Country	:	US
Telephone Number	:	347-417-3923
Fax Number	:

Provider Business Practice Location Address
First Line	:	1775 GRAND CONCOURSE FL 6
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10453-8202
Country	:	US
Telephone Number	:	718-901-8400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2019
Last Update Date	:	03/26/2026

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