Healthcare Provider Details

I. General information

NPI: 1003345950
Provider Name (Legal Business Name): ZAKARIYA ELERAIRE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MARAWAN ELWAKIL

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 SEAVIEW AVE
STATEN ISLAND NY
10305-2246
US

IV. Provider business mailing address

308 SEAVIEW AVE
STATEN ISLAND NY
10305-2246
US

V. Phone/Fax

Practice location:
  • Phone: 718-351-1717
  • Fax:
Mailing address:
  • Phone: 718-954-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC17621
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number009319
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number009319
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10005013
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number22103
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC01171200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: