Provider Demographics
NPI:1659556017
Name:ZROWKA, KLEONIKI DIAMANTIS (NP)
Entity Type:Individual
Prefix:MS
First Name:KLEONIKI
Middle Name:DIAMANTIS
Last Name:ZROWKA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:KLEONIKI
Other - Middle Name:
Other - Last Name:DIAMANTIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:1275 YORK AVE
Mailing Address - Street 2:M-9
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6007
Mailing Address - Country:US
Mailing Address - Phone:212-639-6911
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:M-9
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-6911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335054363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily