Individual
MS. JOANNA BARBARA BOCHENEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 MIDWAY PARK DR, MIDDLETOWN, NY 10940-2656
(845) 343-0728
(845) 343-2087
Mailing address
400 MIDWAY PARK DR, MIDDLETOWN, NY 10940-2656
(845) 343-0728
(845) 343-2087
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
228294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00472931
—
NY
01
—
331832
MEDICARE
—
Enumeration date
09/13/2005
Last updated
10/01/2020
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