Provider Demographics
NPI:1255580122
Name:MARTEN WESTON, ROCHELLE H
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:H
Last Name:MARTEN WESTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ROCHELLE
Other - Middle Name:H
Other - Last Name:MARTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M ED
Mailing Address - Street 1:405 WESTMINSTER RD
Mailing Address - Street 2:APT. LH4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5461
Mailing Address - Country:US
Mailing Address - Phone:917-207-5269
Mailing Address - Fax:
Practice Address - Street 1:405 WESTMINSTER RD
Practice Address - Street 2:APT. LH4
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5461
Practice Address - Country:US
Practice Address - Phone:917-207-5269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services