Healthcare Provider Details

I. General information

NPI: 1386928869
Provider Name (Legal Business Name): SABINA ZHUK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2011
Last Update Date: 10/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 NEPTUNE AVE
BROOKLYN NY
11224-4001
US

IV. Provider business mailing address

525 NEPTUNE AVE APT. 21 D
BROOKLYN NY
11224-4001
US

V. Phone/Fax

Practice location:
  • Phone: 718-769-9103
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number056209
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: