Healthcare Provider Details

I. General information

NPI: 1811643018
Provider Name (Legal Business Name): MICHELLE ZHUBRAK DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2022
Last Update Date: 02/25/2022
Certification Date: 02/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 FIVE MILE WOODS ROAD
CATSKILL NY
12414
US

IV. Provider business mailing address

751 WARREN STREET
HUDSON NY
12534
US

V. Phone/Fax

Practice location:
  • Phone: 518-943-6800
  • Fax: 518-943-6866
Mailing address:
  • Phone: 518-828-6516
  • Fax: 518-828-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213ER0200X
TaxonomyRadiology Podiatrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ZHUBRAK
Title or Position: OWNER/DOCTOR
Credential:
Phone: 518-828-6516