Provider Demographics
NPI:1255779617
Name:JOYA ROCHA, YENIFER (MS, SLP, TSSLD -BEA)
Entity type:Individual
Prefix:
First Name:YENIFER
Middle Name:
Last Name:JOYA ROCHA
Suffix:
Gender:F
Credentials:MS, SLP, TSSLD -BEA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 BEACH 89TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-1404
Mailing Address - Country:US
Mailing Address - Phone:929-888-1134
Mailing Address - Fax:
Practice Address - Street 1:12510 QUEENS BLVD STE 218
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1506
Practice Address - Country:US
Practice Address - Phone:718-593-4121
Practice Address - Fax:718-268-2646
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NY023747-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No174400000XOther Service ProvidersSpecialist