Provider Demographics
NPI:1215311816
Name:ZAKARIAN, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ZAKARIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 90TH ST UNIT 1E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5806
Mailing Address - Country:US
Mailing Address - Phone:347-238-9341
Mailing Address - Fax:
Practice Address - Street 1:372 90TH ST UNIT 1E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5806
Practice Address - Country:US
Practice Address - Phone:347-238-9341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist