Provider Demographics
NPI:1619328945
Name:RAYMOND ZAKHARI THE ADULT HEALTH NURSE PRACTITIONER OF NEW YORK
Entity Type:Organization
Organization Name:RAYMOND ZAKHARI THE ADULT HEALTH NURSE PRACTITIONER OF NEW YORK
Other - Org Name:METRO MEDICAL DIRECT
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKHARI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-484-2709
Mailing Address - Street 1:435 E 70TH ST
Mailing Address - Street 2:13C
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:
Practice Address - Street 1:435 E 70TH ST
Practice Address - Street 2:13C
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY510461163W00000X
NY303836363LA2200X
NY336957363LF0000X
NY40401751363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty