MEDICARE: ZIPHYCARE MEDICAL, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1639751944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZIPHYCARE MEDICAL, PC

Provider Business Mailing Address
First Line	:	315 W 36TH ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-6643
Country	:	US
Telephone Number	:	844-947-6782
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 W 36TH ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-6643
Country	:	US
Telephone Number	:	844-947-6782
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GENNADY UKRAINSKY
Credential	:	MD
Telephone Number	:	844-947-6782

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	04/26/2021

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Directions to “ZIPHYCARE MEDICAL, PC ” Practice Location

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