Provider Demographics
NPI:1356233530
Name:ZICCARELLI, CHRISTINE PATRICIA (FNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:PATRICIA
Last Name:ZICCARELLI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 FOREST AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5245
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6 FOREST AVE STE 150
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5245
Practice Address - Country:US
Practice Address - Phone:201-546-8510
Practice Address - Fax:201-957-7316
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY357114363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily