Individual provider · Type 1 NPI
Stanly Cheeramvelil Zacharia, NURSE PRACTITIONER
Family Nurse Practitioner · Staten Island, NY
NPI number
1861854150
Active
Practice location
777 Seaview Ave
Staten Island, NY 10305-3409
Mailing address
3191 Hyld Blvd
Staten Island, NY 10306
Other practice locations
- 3191 Hyld Blvd, Staten Island, NY 10306 · (347) 703-6114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 712505 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1861854150
Stanly Cheeramvelil Zacharia, NURSE PRACTITIONER's National Provider Identifier is 1861854150, issued on Mar 24, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 9, 2026.