Provider Demographics
NPI:1174227946
Name:ZOROKON, ALIEU
Entity type:Individual
Prefix:
First Name:ALIEU
Middle Name:
Last Name:ZOROKON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5841 WHITE LAKE LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2940
Mailing Address - Country:US
Mailing Address - Phone:571-406-9409
Mailing Address - Fax:
Practice Address - Street 1:5841 WHITE LAKE LN
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-2940
Practice Address - Country:US
Practice Address - Phone:571-406-9409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251S00000XAgenciesCommunity/Behavioral Health