Provider Demographics
NPI:1841436771
Name:DEOLIVEIRA, ROCHEL (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ROCHEL
Middle Name:
Last Name:DEOLIVEIRA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W 135TH ST
Mailing Address - Street 2:APT 10D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-2731
Mailing Address - Country:US
Mailing Address - Phone:646-352-1755
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE; REHABILITATION UNIT, 3RD FLOOR
Practice Address - Street 2:HARLEM HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-939-4401
Practice Address - Fax:212-939-4405
Is Sole Proprietor?:No
Enumeration Date:2008-12-24
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016036235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist