Healthcare Provider Details

I. General information

NPI: 1922946334
Provider Name (Legal Business Name): ZAKRISH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ERDMAN PL APT 12G
BRONX NY
10475-5357
US

IV. Provider business mailing address

100 ERDMAN PL APT 12G
BRONX NY
10475-5357
US

V. Phone/Fax

Practice location:
  • Phone: 917-960-4436
  • Fax:
Mailing address:
  • Phone: 917-960-4436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BERIKISU PALM MENSAH
Title or Position: OWNER
Credential: FNP-BC
Phone: 917-960-4436