Provider Demographics
NPI:1174184600
Name:CANO RODRIGUEZ, ZOILA JOSEFINA (MD)
Entity Type:Individual
Prefix:
First Name:ZOILA
Middle Name:JOSEFINA
Last Name:CANO RODRIGUEZ
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 1:9411 65TH RD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4627
Mailing Address - Country:US
Mailing Address - Phone:646-934-9947
Mailing Address - Fax:
Practice Address - Street 1:7802 41ST AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-334-2156
Practice Address - Fax:718-334-2862
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317499208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics