National Provider Identifier
Miranda Ariel Chacon
Miranda Ariel Chacon is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2723.
Profile Overview
- NPI
- 1588292148
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 30, 2020
- Last Updated
- March 30, 2020
Practice Location
- 601 Elmwood Avenue Box Surg
- Rochester, NY 14642-0001
Phone: (585) 275-2723
Mailing Address
- 17 Southview Ter
- Rochester, NY 14620-3903
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1588292148
- Entity Type
- Individual
- Last Name
- Chacon
- First Name
- Miranda
- Middle Name
- Ariel
- Mailing Street Address
- 17 Southview Ter
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3903
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Avenue Box Surg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2723
- Enumeration Date
- March 30, 2020
- Last Updated
- March 30, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 30, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)