Provider Demographics
NPI:1013481159
Name:MCDONALD, ZENEIDA N
Entity Type:Individual
Prefix:PROF
First Name:ZENEIDA
Middle Name:N
Last Name:MCDONALD
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 1:24115 WELLER AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2317
Mailing Address - Country:US
Mailing Address - Phone:718-986-3789
Mailing Address - Fax:
Practice Address - Street 1:24115 WELLER AVE
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-2317
Practice Address - Country:US
Practice Address - Phone:718-986-3789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY431695163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse