Healthcare Provider Details

I. General information

NPI: 1326691635
Provider Name (Legal Business Name): DANIELA CHOCRON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2019
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 GRAND CONCOURSE FL 6
BRONX NY
10453-8202
US

IV. Provider business mailing address

340 E 90TH ST APT 4C
NEW YORK NY
10128-5131
US

V. Phone/Fax

Practice location:
  • Phone: 718-901-8400
  • Fax:
Mailing address:
  • Phone: 347-417-3923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number065247
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: