Provider Demographics
NPI:1326479551
Name:CHONG, DANIELA (MS)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:CHONG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 MONTAGUE ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-2340
Mailing Address - Country:US
Mailing Address - Phone:914-907-4356
Mailing Address - Fax:
Practice Address - Street 1:39 MONTAGUE ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-2340
Practice Address - Country:US
Practice Address - Phone:914-907-4356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY673217642235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist