Provider Demographics
NPI:1639486434
Name:ZAZA, ARIANA (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:ARIANA
Middle Name:
Last Name:ZAZA
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-1310
Mailing Address - Country:US
Mailing Address - Phone:516-297-6304
Mailing Address - Fax:516-692-0111
Practice Address - Street 1:1 2ND ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-1310
Practice Address - Country:US
Practice Address - Phone:516-297-6304
Practice Address - Fax:516-692-0111
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014218363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant