Provider Demographics
NPI:1306209234
Name:ZOHRABIAN, VATCHE MICHAEL (DO)
Entity Type:Individual
Prefix:
First Name:VATCHE
Middle Name:MICHAEL
Last Name:ZOHRABIAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WALL ST FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-2178
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 N CLEMATIS ST STE 110
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5553
Practice Address - Country:US
Practice Address - Phone:561-365-3000
Practice Address - Fax:561-365-3019
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT70264207R00000X
NY299206207R00000X
FLOS20194207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine