Healthcare Provider Details

I. General information

NPI: 1386895571
Provider Name (Legal Business Name): DANIEL ZAKHARY M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 08/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 GENESEE ST # B1
UTICA NY
13502
US

IV. Provider business mailing address

268 GENESEE ST # B1
UTICA NY
13502-4617
US

V. Phone/Fax

Practice location:
  • Phone: 315-801-7140
  • Fax: 315-801-7276
Mailing address:
  • Phone: 315-801-7140
  • Fax: 315-801-7276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number249896
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number249896
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: