Provider Demographics
NPI:1043717325
Name:ZIFICSAK, RHEA ELIZABETH
Entity Type:Individual
Prefix:
First Name:RHEA
Middle Name:ELIZABETH
Last Name:ZIFICSAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 FLEETWOOD AVE APT 1D
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-2854
Mailing Address - Country:US
Mailing Address - Phone:914-299-4954
Mailing Address - Fax:
Practice Address - Street 1:30 FLEETWOOD AVE APT 1D
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-2854
Practice Address - Country:US
Practice Address - Phone:914-299-4954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist