Organization
ZIKO NURSE PRACTITIONER IN FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELDA ZIKO PMHNP-BC (OWNER)
(718) 551-5719
Entity
Organization
Contact information
Practice address
172 BATHGATE ST, STATEN ISLAND, NY 10312-6021
(718) 551-5719
Mailing address
172 BATHGATE ST, STATEN ISLAND, NY 10312-6021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
06/05/2023
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