Provider Demographics
NPI:1336522267
Name:K ZARK MEDICAL P.C.
Entity type:Organization
Organization Name:K ZARK MEDICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KONSTANTINOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARKADAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-928-8888
Mailing Address - Street 1:575 W 161ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-6101
Mailing Address - Country:US
Mailing Address - Phone:212-928-8888
Mailing Address - Fax:
Practice Address - Street 1:575 W 161ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-6101
Practice Address - Country:US
Practice Address - Phone:212-928-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty