Provider Demographics
NPI:1629530985
Name:ZAHRIAH, ELISE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ELISE
Middle Name:
Last Name:ZAHRIAH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:ELISE
Other - Middle Name:
Other - Last Name:KUSCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:481 THOREAU TER
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7829
Mailing Address - Country:US
Mailing Address - Phone:401-497-5587
Mailing Address - Fax:
Practice Address - Street 1:160 E 34TH ST FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4744
Practice Address - Country:US
Practice Address - Phone:212-731-5545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY650130163W00000X
NYF309049363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology