Provider Demographics
NPI:1922372507
Name:OCHIGAVA, MAIA (RN)
Entity Type:Individual
Prefix:MISS
First Name:MAIA
Middle Name:
Last Name:OCHIGAVA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 OCEAN AVE APT 5E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3141
Mailing Address - Country:US
Mailing Address - Phone:917-535-1345
Mailing Address - Fax:
Practice Address - Street 1:2835 OCEAN AVE APT 5E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3141
Practice Address - Country:US
Practice Address - Phone:917-535-1345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY644415-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse