Provider Demographics
NPI:1497816946
Name:ZACHARIAH, ANNAMMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNAMMA
Middle Name:
Last Name:ZACHARIAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 MCKEE ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1304
Mailing Address - Country:US
Mailing Address - Phone:516-352-2335
Mailing Address - Fax:516-352-2335
Practice Address - Street 1:1826 ARTHUR AVE
Practice Address - Street 2:3RD FLOOR,HEALTH CENTER AT TREMONT
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-6601
Practice Address - Country:US
Practice Address - Phone:718-918-8700
Practice Address - Fax:718-918-8740
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196825208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01522687Medicaid
NYF92725Medicare UPIN
NY68J791Medicare ID - Type Unspecified