Provider Demographics
NPI:1518018407
Name:ZAKHARI, RAYMOND (ANP, FNP, PHMNP)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:
Last Name:ZAKHARI
Suffix:
Gender:M
Credentials:ANP, FNP, PHMNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 E 70TH ST
Mailing Address - Street 2:13 C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5342
Mailing Address - Country:US
Mailing Address - Phone:917-484-2709
Mailing Address - Fax:855-300-4767
Practice Address - Street 1:435 E 70TH ST
Practice Address - Street 2:13 C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5342
Practice Address - Country:US
Practice Address - Phone:917-484-2709
Practice Address - Fax:855-300-4767
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY510461163W00000X
NY303836363L00000X, 363LA2200X
NY336957363LF0000X
NY40401751363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02443112Medicaid
2421389Medicare PIN
NY0785G1Medicare UPIN