Provider Demographics
NPI:1700140910
Name:DONOWITZ, YOCHEVED ROCHEL (MS)
Entity type:Individual
Prefix:MRS
First Name:YOCHEVED
Middle Name:ROCHEL
Last Name:DONOWITZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 WESTBOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-1642
Mailing Address - Country:US
Mailing Address - Phone:718-868-4787
Mailing Address - Fax:
Practice Address - Street 1:2905 WESTBOURNE AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-1642
Practice Address - Country:US
Practice Address - Phone:718-868-4787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY636280051174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist