1578856118 NPI number — DR. LEILA PERECMANIS COSTA ROCHA M.D.

Table of content: DR. LEILA PERECMANIS COSTA ROCHA M.D. (NPI 1578856118)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578856118 NPI number — DR. LEILA PERECMANIS COSTA ROCHA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROCHA
Provider First Name:
LEILA
Provider Middle Name:
PERECMANIS COSTA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578856118
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 HOSPITAL RD # N326
Provider Second Line Business Mailing Address:
WESTCHESTER MEDICAL CENTER - BEHAVIORAL HEALTH CENTER
Provider Business Mailing Address City Name:
VALHALLA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10595-1538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-493-1939
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 HOSPITAL RD # N326
Provider Second Line Business Practice Location Address:
WESTCHESTER MEDICAL CENTER - BEHAVIORAL HEALTH CENTER
Provider Business Practice Location Address City Name:
VALHALLA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10595-1538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-493-1939
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)