Healthcare Provider Details

I. General information

NPI: 1891138525
Provider Name (Legal Business Name): RACHEL ALENA ZHUK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2248 BROADWAY # 1031
NEW YORK NY
10024-5805
US

IV. Provider business mailing address

2248 BROADWAY # 1031
NEW YORK NY
10024-5805
US

V. Phone/Fax

Practice location:
  • Phone: 347-878-5023
  • Fax:
Mailing address:
  • Phone: 347-878-5023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number279403
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: