Provider Demographics
NPI:1053182253
Name:RODRIGUES, ZACHARY (NBC-HWC)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:RODRIGUES
Suffix:
Gender:M
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BOSTWICK LN
Mailing Address - Street 2:
Mailing Address - City:OLD WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11568-1602
Mailing Address - Country:US
Mailing Address - Phone:516-353-3437
Mailing Address - Fax:
Practice Address - Street 1:47 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2926
Practice Address - Country:US
Practice Address - Phone:516-353-3437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach