Provider Demographics
NPI:1174847453
Name:ASKEROVA, ZENA (RPH, MS, PHD)
Entity Type:Individual
Prefix:MRS
First Name:ZENA
Middle Name:
Last Name:ASKEROVA
Suffix:
Gender:F
Credentials:RPH, MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3558 NOSTRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-5203
Mailing Address - Country:US
Mailing Address - Phone:718-676-4966
Mailing Address - Fax:718-676-4967
Practice Address - Street 1:3558 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5203
Practice Address - Country:US
Practice Address - Phone:718-676-4966
Practice Address - Fax:718-676-4967
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6557280001Medicare NSC