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NPI Code Detail

MEDICARE: MS. JOANNA BARBARA BOCHENEK MD

MEDICARE: MS. JOANNA BARBARA BOCHENEK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician228294NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2331832OTHERMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952396228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOANNA BARBARA BOCHENEK MD
Provider Business Mailing Address
First Line : 400 MIDWAY PARK DR
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-2656
Country : US
Telephone Number : 845-343-0728
Fax Number : 845-343-2087
Provider Business Practice Location Address
First Line : 400 MIDWAY PARK DR
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-2656
Country : US
Telephone Number : 845-343-0728
Fax Number : 845-343-2087
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 10/01/2020

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