Provider Demographics
NPI:1861586356
Name:ROCHA, CEZINA Y (MD MPH)
Entity type:Individual
Prefix:DR
First Name:CEZINA
Middle Name:Y
Last Name:ROCHA
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 SUMMIT ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1645
Mailing Address - Country:US
Mailing Address - Phone:585-344-0118
Mailing Address - Fax:585-344-0119
Practice Address - Street 1:229 SUMMIT ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1645
Practice Address - Country:US
Practice Address - Phone:585-344-0118
Practice Address - Fax:585-344-0119
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0054600207RG0100X
NY147365-1207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY008311Medicare ID - Type Unspecified