Provider Demographics
NPI:1457537987
Name:ZBARSKY MEDICAL PC
Entity type:Organization
Organization Name:ZBARSKY MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OKSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZBARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-851-7765
Mailing Address - Street 1:535 OCEAN PKWY
Mailing Address - Street 2:SUITE LA
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218
Mailing Address - Country:US
Mailing Address - Phone:718-851-7765
Mailing Address - Fax:718-851-7743
Practice Address - Street 1:535 OCEAN PKWY
Practice Address - Street 2:SUITE LA
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218
Practice Address - Country:US
Practice Address - Phone:718-851-7765
Practice Address - Fax:718-851-7743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02084577Medicaid
NYW35151Medicare Oscar/Certification