Provider Demographics
NPI:1861855264
Name:OCHAYA, LYRIA
Entity Type:Individual
Prefix:
First Name:LYRIA
Middle Name:
Last Name:OCHAYA
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 1:8 GREEN ISLE RD
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14467-9206
Mailing Address - Country:US
Mailing Address - Phone:585-615-6212
Mailing Address - Fax:
Practice Address - Street 1:8 GREEN ISLE RD
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14467-9206
Practice Address - Country:US
Practice Address - Phone:585-615-6212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10311573164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse