Provider Demographics
NPI:1285317446
Name:ZAKRI, JOCELYN (RRT RPSGT RST CCSH)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:ZAKRI
Suffix:
Gender:F
Credentials:RRT RPSGT RST CCSH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-3043
Mailing Address - Country:US
Mailing Address - Phone:315-744-7413
Mailing Address - Fax:
Practice Address - Street 1:5700 W GENESEE ST STE 100
Practice Address - Street 2:
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-3211
Practice Address - Country:US
Practice Address - Phone:315-487-5337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246Z00000X
NY007156-012279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care