MEDICARE: ALEXANDRA ZIARKO

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	1223P0221X	Pediatric Dentistry	064555	NY

General Provider Information

NPI Number	:	1245814482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA ZIARKO

Provider Business Mailing Address
First Line	:	205 E 85TH ST APT 5L
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-3222
Country	:	US
Telephone Number	:	201-421-8536
Fax Number	:

Provider Business Practice Location Address
First Line	:	380 UNION AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-3429
Country	:	US
Telephone Number	:	347-986-2032
Fax Number	:

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

Provider Enumeration Date	:	05/12/2021
Last Update Date	:	07/17/2025

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Directions to “ ALEXANDRA ZIARKO ” Practice Location

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