Provider Demographics
NPI:1700678661
Name:CHALHON, DANIEL (RN, PMHNP-STUDENT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:CHALHON
Suffix:
Gender:M
Credentials:RN, PMHNP-STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 NATIONAL DR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6801
Mailing Address - Country:US
Mailing Address - Phone:646-500-1946
Mailing Address - Fax:
Practice Address - Street 1:1180 6TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8401
Practice Address - Country:US
Practice Address - Phone:917-923-0569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY873739163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program