Healthcare Provider Details

I. General information

NPI: 1700678661
Provider Name (Legal Business Name): DANIEL CHALHON PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 6TH AVE
NEW YORK NY
10036-8401
US

IV. Provider business mailing address

48 LYLE CT
STATEN ISLAND NY
10306-1142
US

V. Phone/Fax

Practice location:
  • Phone: 917-923-0569
  • Fax:
Mailing address:
  • Phone: 646-500-1946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408890
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number873739
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: