Healthcare Provider Details

I. General information

NPI: 1568386225
Provider Name (Legal Business Name): MEGAN ZAHURUDIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 HAMILTON AVE
MONTICELLO NY
12701
US

IV. Provider business mailing address

206 GOLF LINKS RD APT 222
MIDDLETOWN NY
10940-3585
US

V. Phone/Fax

Practice location:
  • Phone: 845-397-7101
  • Fax:
Mailing address:
  • Phone: 646-851-6357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberN61001
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number342542
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: