Provider Demographics
NPI:1366755498
Name:SIROTE, ROCHELLE
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:
Last Name:SIROTE
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 1:8437 124TH ST
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-3306
Mailing Address - Country:US
Mailing Address - Phone:718-805-9456
Mailing Address - Fax:718-805-3732
Practice Address - Street 1:8437 124TH ST
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-3306
Practice Address - Country:US
Practice Address - Phone:718-805-9456
Practice Address - Fax:718-805-3732
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist