Provider Demographics
NPI:1689140204
Name:ZIRKIEVA, SHIRIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHIRIN
Middle Name:
Last Name:ZIRKIEVA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8267 166TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1820
Mailing Address - Country:US
Mailing Address - Phone:718-415-0982
Mailing Address - Fax:
Practice Address - Street 1:15802 UNION TPKE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1940
Practice Address - Country:US
Practice Address - Phone:718-380-8259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-22
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist