Basic Information
Provider Information
NPI: 1124337050
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARONOVA
FirstName: ZOYA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 920 ELKRIDGE LANDING RD
Address2: 2ND FLOOR
City: LINTHICUM
State: MD
PostalCode: 210902917
CountryCode: US
TelephoneNumber: 4434625010
FaxNumber: 4106842031
Practice Location
Address1: 1599 E 15TH ST
Address2: 2ND FL
City: BROOKLYN
State: NY
PostalCode: 112306759
CountryCode: US
TelephoneNumber: 7186761743
FaxNumber: 7186761746
Other Information
ProviderEnumerationDate: 09/27/2010
LastUpdateDate: 07/06/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP2300X013555NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care

No ID Information.


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