Individual
ISADORA COSTA CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 1ST AVENUE, NEW YORK, NY 10029
(212) 423-6262
(212) 423-8807
Mailing address
1901 1ST AVENUE, NEW YORK, NY 10029
(212) 423-7507
(212) 423-8807
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME171929
FL
Other
Enumeration date
06/15/2021
Last updated
07/24/2025
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