Provider Demographics
NPI:1205554003
Name:CIRIKOVIC, DZENANA (OTR/L)
Entity type:Individual
Prefix:
First Name:DZENANA
Middle Name:
Last Name:CIRIKOVIC
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 MADISON AVE FL 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7584
Mailing Address - Country:US
Mailing Address - Phone:212-759-2282
Mailing Address - Fax:
Practice Address - Street 1:102 MADISON AVE FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-7584
Practice Address - Country:US
Practice Address - Phone:212-759-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-17
Last Update Date:2025-06-12
Deactivation Date:2025-05-02
Deactivation Code:
Reactivation Date:2025-05-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist