Provider Demographics
NPI:1730954512
Name:KOCHERGA, ALEKSANDRA (MS OTR/L)
Entity type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:
Last Name:KOCHERGA
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 AVENUE V APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-6201
Mailing Address - Country:US
Mailing Address - Phone:917-767-0427
Mailing Address - Fax:
Practice Address - Street 1:1411 AVENUE V APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-6201
Practice Address - Country:US
Practice Address - Phone:917-767-0427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028651-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist