Healthcare Provider Details

I. General information

NPI: 1659381515
Provider Name (Legal Business Name): ANDREA CHRISTINA ZUJKO PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 COLUMBUS AVE STE 4
NEW YORK NY
10023-6917
US

IV. Provider business mailing address

730 COLUMBUS AVE APT 10H
NEW YORK NY
10025-6665
US

V. Phone/Fax

Practice location:
  • Phone: 212-541-8450
  • Fax: 212-541-8582
Mailing address:
  • Phone: 212-541-8450
  • Fax: 212-541-8582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number024542-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: