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NPI Code Detail

MEDICARE: SVETLANA ZEKOWSKY

MEDICARE:   SVETLANA  ZEKOWSKY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse290067-1NY

General Provider Information

NPI Number : 1841549904
Entity Type Code : Individual
Provider Name (Legal Business Name) : SVETLANA ZEKOWSKY
Provider Business Mailing Address
First Line : 3203 NOSTRAND AVE
Second Line : 3A
City : BROOKLYN
State : NY
Zip : 11229-3225
Country : US
Telephone Number : 718-909-0980
Fax Number :
Provider Business Practice Location Address
First Line : 3203 NOSTRAND AVE
Second Line : 3A
City : BROOKLYN
State : NY
Zip : 11229-3225
Country : US
Telephone Number : 718-909-0980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 09/05/2012

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Directions to “ SVETLANA ZEKOWSKY ” Practice Location

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