Healthcare Provider Details

I. General information

NPI: 1740384866
Provider Name (Legal Business Name): KARINA ZHURAVLEVA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 03/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 N BROADWAY SUITE 560
SLEEPY HOLLOW NY
10591-1075
US

IV. Provider business mailing address

755 N BROADWAY SUITE 560 SLEEPY HOLLOW MEDICAL GROUP @ PHELPS
SLEEPY NY
10591
US

V. Phone/Fax

Practice location:
  • Phone: 914-631-0337
  • Fax: 914-631-0552
Mailing address:
  • Phone: 914-631-0337
  • Fax: 914-631-0552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number230920-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: