Healthcare Provider Details

I. General information

NPI: 1417335746
Provider Name (Legal Business Name): OKSANA ZHUFYAK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 08/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK AVE
NEW YORK NY
10065-6007
US

IV. Provider business mailing address

1275 YORK AVE
NEW YORK NY
10065
US

V. Phone/Fax

Practice location:
  • Phone: 212-639-2752
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number058614
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: