Provider Demographics
NPI:1801232681
Name:DEMIRTSHYAN, ZARUHI (MSED)
Entity Type:Individual
Prefix:
First Name:ZARUHI
Middle Name:
Last Name:DEMIRTSHYAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 ORIENTAL BLVD
Mailing Address - Street 2:APT. 8K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4945
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:65 ORIENTAL BLVD
Practice Address - Street 2:APT. 8K
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4945
Practice Address - Country:US
Practice Address - Phone:917-605-8336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY660751122174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist