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Individual

DAVID ZIRKIYEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
16040 78TH RD, SUITE 200, FRESH MEADOWS, NY 11366-1945
(718) 544-1444
Mailing address
16040 78TH RD, SUITE 200, FRESH MEADOWS, NY 11366-1945
(718) 544-1444

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0065821
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02521337
NY
Enumeration date
11/28/2006
Last updated
11/29/2013
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