MEDICARE: MONIKA ZIRATH NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F333375	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144227414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIKA ZIRATH NP

Provider Business Mailing Address
First Line	:	750 E ADAMS ST
Second Line	:	REGIONAL ONCOLOGY CENTER
City	:	SYRACUSE
State	:	NY
Zip	:	13210-2342
Country	:	US
Telephone Number	:	315-464-8200
Fax Number	:	315-464-8206

Provider Business Practice Location Address
First Line	:	750 E ADAMS ST
Second Line	:	REGIONAL ONCOLOGY CENTER
City	:	SYRACUSE
State	:	NY
Zip	:	13210-2342
Country	:	US
Telephone Number	:	315-464-8200
Fax Number	:	315-464-8206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	08/23/2013

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