Healthcare Provider Details

I. General information

NPI: 1417101056
Provider Name (Legal Business Name): ZEF HOT RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2008
Last Update Date: 11/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1518 NEPPERHAN AVE
YONKERS NY
10703-1027
US

IV. Provider business mailing address

1518 NEPPERHAN AVE
YONKERS NY
10703-1027
US

V. Phone/Fax

Practice location:
  • Phone: 914-729-4373
  • Fax: 914-684-0938
Mailing address:
  • Phone: 914-729-4373
  • Fax: 914-684-0938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number460327-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: