Provider Demographics
NPI:1700683687
Name:ZIRKIYEV, ARIEL
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:ZIRKIYEV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22424 UNION TPKE APT 3P
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3614
Mailing Address - Country:US
Mailing Address - Phone:347-970-9020
Mailing Address - Fax:
Practice Address - Street 1:22424 UNION TPKE APT 3P
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3614
Practice Address - Country:US
Practice Address - Phone:347-970-9020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY356248363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily