Provider Demographics
NPI:1043659519
Name:AGOCHIYA, JYOTIKA (MD)
Entity type:Individual
Prefix:
First Name:JYOTIKA
Middle Name:
Last Name:AGOCHIYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 ROUTE 45 SUITE 1000
Mailing Address - Street 2:RAMAPO VALLEY OBGYN,
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970
Mailing Address - Country:US
Mailing Address - Phone:845-354-1113
Mailing Address - Fax:
Practice Address - Street 1:974 ROUTE 45 SUITE 1000
Practice Address - Street 2:RAMAPO VALLEY OBGYN
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970
Practice Address - Country:US
Practice Address - Phone:845-354-1113
Practice Address - Fax:845-354-1813
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290197207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology