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

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X712505 (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.