Healthcare Provider Details

I. General information

NPI: 1124322276
Provider Name (Legal Business Name): ZHANNA HURALSKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2011
Last Update Date: 01/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S BROADWAY SAINT JOSEPHS HOSPITAL
YONKERS NY
10701-4006
US

IV. Provider business mailing address

127 S BROADWAY SAINT JOSEPHS HOSPITAL
YONKERS NY
10701-4006
US

V. Phone/Fax

Practice location:
  • Phone: 914-378-7665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: