Provider Demographics
NPI:1154742492
Name:HALL-RODRIGUEZ, ZHASHEYL D (LPN)
Entity type:Individual
Prefix:
First Name:ZHASHEYL
Middle Name:D
Last Name:HALL-RODRIGUEZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 CATHERINE ST
Mailing Address - Street 2:C
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-1714
Mailing Address - Country:US
Mailing Address - Phone:315-876-4284
Mailing Address - Fax:
Practice Address - Street 1:624 CATHERINE ST
Practice Address - Street 2:C
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-1714
Practice Address - Country:US
Practice Address - Phone:315-876-4284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10 317603164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse