Provider Demographics
NPI:1497015176
Name:VASSILEVA, ZORNITZA STOYANOVA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ZORNITZA
Middle Name:STOYANOVA
Last Name:VASSILEVA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16028 98TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3813
Mailing Address - Country:US
Mailing Address - Phone:347-561-5476
Mailing Address - Fax:
Practice Address - Street 1:16028 98TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-3813
Practice Address - Country:US
Practice Address - Phone:347-561-5476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337104363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner