# ZIKO NURSE PRACTITIONER IN FAMILY HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750071072
- **Authorized official:** ELDA ZIKO PMHNP-BC (OWNER)
- **Authorized official phone:** (718) 551-5719

## Contact information

- **Practice address:** 172 BATHGATE ST, STATEN ISLAND, NY 10312-6021
- **Practice address phone:** (718) 551-5719
- **Mailing address:** 172 BATHGATE ST, STATEN ISLAND, NY 10312-6021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2023
- **Last updated:** 09/07/2026