Provider Demographics
NPI:1639912868
Name:CLARK-ROCHELLE, JOY ELIZABETH
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:ELIZABETH
Last Name:CLARK-ROCHELLE
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 1:2303 31ST AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4084
Mailing Address - Country:US
Mailing Address - Phone:718-413-3847
Mailing Address - Fax:
Practice Address - Street 1:2303 31ST AVE APT 1B
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-4084
Practice Address - Country:US
Practice Address - Phone:718-413-3847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula