Healthcare Provider Details

I. General information

NPI: 1104140557
Provider Name (Legal Business Name): ARIEL ZAUROV RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2010
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 LIBERTY ST STE 2
NEW YORK NY
10281-1049
US

IV. Provider business mailing address

70 LITTLE WEST ST APT 27B
NEW YORK NY
10004-7438
US

V. Phone/Fax

Practice location:
  • Phone: 212-540-6004
  • Fax: 646-360-4537
Mailing address:
  • Phone: 917-246-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number045841
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02994800
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0015613
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: