Provider Demographics
NPI:1255826202
Name:TINOCOHOYOS-TEJEDA, BEATRIZ E
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:E
Last Name:TINOCOHOYOS-TEJEDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 BROOKHAVEN AVE APT 6A
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-2687
Mailing Address - Country:US
Mailing Address - Phone:347-283-9408
Mailing Address - Fax:
Practice Address - Street 1:2210 BROOKHAVEN AVE APT 6A
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-2687
Practice Address - Country:US
Practice Address - Phone:347-283-9408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health