MEDICARE: JOSHUA Y CHOPP 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	039569	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932204245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA Y CHOPP DDS

Provider Business Mailing Address
First Line	:	1800 OCEAN PARKWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223
Country	:	US
Telephone Number	:	718-375-5772
Fax Number	:	718-998-1665

Provider Business Practice Location Address
First Line	:	1800 OCEAN PARKWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223
Country	:	US
Telephone Number	:	718-375-5772
Fax Number	:	718-998-1665

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	07/08/2007

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