Healthcare Provider Details

I. General information

NPI: 1881088367
Provider Name (Legal Business Name): ZORKA GEDEON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7580 NORTHCLIFF AVE STE 600
BROOKLYN OH
44144-3272
US

IV. Provider business mailing address

4281 OREGON ST
PERRY OH
44081-9513
US

V. Phone/Fax

Practice location:
  • Phone: 216-990-0052
  • Fax: 866-322-3640
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN-304960
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.17209
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: