Provider Demographics
NPI:1356528236
Name:LE, ZOILA DEVERA
Entity type:Individual
Prefix:MRS
First Name:ZOILA
Middle Name:DEVERA
Last Name:LE
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ZOILA
Other - Middle Name:DEVERA
Other - Last Name:POSADAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:13-29 127 STREET
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356
Mailing Address - Country:US
Mailing Address - Phone:718-358-0944
Mailing Address - Fax:
Practice Address - Street 1:13-29 127 STREET
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356
Practice Address - Country:US
Practice Address - Phone:718-358-0944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1524801164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse