Provider Demographics
NPI:1700266178
Name:OCHOA, ISABEL MARCELINA (SPECIAL EDUCATION)
Entity Type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:MARCELINA
Last Name:OCHOA
Suffix:
Gender:F
Credentials:SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 VAN CORTLANDT PARK S APT 2F
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2924
Mailing Address - Country:US
Mailing Address - Phone:917-374-7144
Mailing Address - Fax:
Practice Address - Street 1:92 VAN CORTLANDT PARK S APT 2F
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-2924
Practice Address - Country:US
Practice Address - Phone:917-374-7144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1258285174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator