Individual
NICOLE ZAKHAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
303 5TH AVE, NEW YORK, NY 10016-6601
(914) 359-3257
Mailing address
201 MARIN BLVD APT 201, JERSEY CITY, NJ 07302-6492
(347) 283-5972
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
799257
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407435
NY
Other
Enumeration date
09/02/2024
Last updated
08/07/2025
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