Provider Demographics
NPI:1568870624
Name:NOCEDA, BALBINA (MS)
Entity Type:Individual
Prefix:MS
First Name:BALBINA
Middle Name:
Last Name:NOCEDA
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 1:670 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1360
Mailing Address - Country:US
Mailing Address - Phone:914-433-5533
Mailing Address - Fax:
Practice Address - Street 1:670 SECOR RD
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1360
Practice Address - Country:US
Practice Address - Phone:914-433-5533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management