Provider Demographics
NPI:1205027745
Name:GOCHOCO, MARIA PILAR (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:PILAR
Last Name:GOCHOCO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:PILAR
Other - Middle Name:
Other - Last Name:GOCHOCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:47 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-2400
Mailing Address - Country:US
Mailing Address - Phone:914-437-5730
Mailing Address - Fax:914-437-5729
Practice Address - Street 1:47 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2400
Practice Address - Country:US
Practice Address - Phone:914-437-5730
Practice Address - Fax:914-437-5729
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0512101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice