Provider Demographics
NPI:1912268822
Name:RUOCCO, JOYCE THERESA
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:THERESA
Last Name:RUOCCO
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 1:3304 215TH PL
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1618
Mailing Address - Country:US
Mailing Address - Phone:917-750-3381
Mailing Address - Fax:718-423-6032
Practice Address - Street 1:3304 215TH PL
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1618
Practice Address - Country:US
Practice Address - Phone:917-750-3381
Practice Address - Fax:718-423-6032
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist