Provider Demographics
NPI:1841012531
Name:BOCSKAY, ILDIKO ROXANE (PHD, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:ILDIKO
Middle Name:ROXANE
Last Name:BOCSKAY
Suffix:
Gender:F
Credentials:PHD, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21717 LASSEN ST APT 224
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-3634
Mailing Address - Country:US
Mailing Address - Phone:818-497-2402
Mailing Address - Fax:
Practice Address - Street 1:21717 LASSEN ST APT 224
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-3634
Practice Address - Country:US
Practice Address - Phone:818-497-2402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032697363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health