Provider Demographics
NPI:1104140557
Name:ZAUROV, ARIEL (RPH)
Entity type:Individual
Prefix:MR
First Name:ARIEL
Middle Name:
Last Name:ZAUROV
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 LITTLE WEST ST APT 27B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-7438
Mailing Address - Country:US
Mailing Address - Phone:917-246-7455
Mailing Address - Fax:
Practice Address - Street 1:55 ISHAM RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2205
Practice Address - Country:US
Practice Address - Phone:860-656-6229
Practice Address - Fax:860-968-0013
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02994800183500000X
CT0015613183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0078174Medicaid
NJ0078174Medicaid