Provider Demographics
NPI:1336903434
Name:ZACHTER, ELIANA (PA-C)
Entity Type:Individual
Prefix:
First Name:ELIANA
Middle Name:
Last Name:ZACHTER
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15910 71ST AVE APT 2W
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3020
Mailing Address - Country:US
Mailing Address - Phone:518-253-5452
Mailing Address - Fax:
Practice Address - Street 1:15910 71ST AVE APT 2W
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-3020
Practice Address - Country:US
Practice Address - Phone:518-253-5452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant