Provider Demographics
NPI:1427458686
Name:ZEPHIRIN, JUDITHE (RN)
Entity type:Individual
Prefix:
First Name:JUDITHE
Middle Name:
Last Name:ZEPHIRIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 PAERDEGAT 4TH ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4136
Mailing Address - Country:US
Mailing Address - Phone:646-730-0546
Mailing Address - Fax:
Practice Address - Street 1:18 PAERDEGAT 4TH ST
Practice Address - Street 2:APT. 1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4136
Practice Address - Country:US
Practice Address - Phone:347-488-2964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY684663163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse