Healthcare Provider Details

I. General information

NPI: 1821090010
Provider Name (Legal Business Name): IGAL ZURAVICKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 01/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 MADISON AVE CAPITAL CARDIOLOGY ASSOCIATES, PC
ALBANY NY
12208-3712
US

IV. Provider business mailing address

7 SOUTHWOODS BLVD CAPITAL CARDIOLOGY ASSOCIATES, PC
ALBANY NY
12211-2526
US

V. Phone/Fax

Practice location:
  • Phone: 518-438-6236
  • Fax: 518-438-6750
Mailing address:
  • Phone: 518-292-6000
  • Fax: 518-292-6050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number137702
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: