Provider Demographics
NPI:1679864722
Name:ZAYAS, ANA IVETTE (CNA)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:IVETTE
Last Name:ZAYAS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2185 CULVER RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-2743
Mailing Address - Country:US
Mailing Address - Phone:585-625-7042
Mailing Address - Fax:
Practice Address - Street 1:2185 CULVER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-2743
Practice Address - Country:US
Practice Address - Phone:585-625-7042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342589920807R376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide