Provider Demographics
NPI:1629472360
Name:RODRIGUEZ, ZENIA I
Entity Type:Individual
Prefix:MS
First Name:ZENIA
Middle Name:
Last Name:RODRIGUEZ
Suffix:I
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 1:100 HERRIOT ST APT 2H
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-4765
Mailing Address - Country:US
Mailing Address - Phone:914-374-4517
Mailing Address - Fax:
Practice Address - Street 1:100 HERRIOT ST APT 2H
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4765
Practice Address - Country:US
Practice Address - Phone:914-374-4517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist