Healthcare Provider Details

I. General information

NPI: 1639751944
Provider Name (Legal Business Name): ZIPHYCARE MEDICAL, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2021
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W 36TH ST FL 2
NEW YORK NY
10018-6643
US

IV. Provider business mailing address

315 W 36TH ST FL 2
NEW YORK NY
10018-6643
US

V. Phone/Fax

Practice location:
  • Phone: 844-947-6782
  • Fax:
Mailing address:
  • Phone: 844-947-6782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GENNADY UKRAINSKY
Title or Position: OWNER
Credential: MD
Phone: 844-947-6782