Provider Demographics
NPI:1255522835
Name:BOCAYA, MADELEINE PIA
Entity type:Individual
Prefix:
First Name:MADELEINE
Middle Name:PIA
Last Name:BOCAYA
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 1:73 WASHINGTON PL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-9705
Mailing Address - Country:US
Mailing Address - Phone:415-317-7336
Mailing Address - Fax:
Practice Address - Street 1:73 WASHINGTON PL
Practice Address - Street 2:APT 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-9705
Practice Address - Country:US
Practice Address - Phone:415-317-7336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA934225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist