Provider Demographics
NPI:1174925937
Name:BIJOU, ROCHELLE (MS SPED MS SBL)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:BIJOU
Suffix:
Gender:F
Credentials:MS SPED MS SBL
Other - Prefix:
Other - First Name:ROCHELLE
Other - Middle Name:
Other - Last Name:SAFDIEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SPED MS SBL
Mailing Address - Street 1:1436 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6610
Mailing Address - Country:US
Mailing Address - Phone:718-375-3732
Mailing Address - Fax:
Practice Address - Street 1:1436 E 14TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6610
Practice Address - Country:US
Practice Address - Phone:718-375-3732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264181174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist