Provider Demographics
NPI:1891754909
Name:ZHURAKOVSKI, GALINA D (MD)
Entity type:Individual
Prefix:DR
First Name:GALINA
Middle Name:D
Last Name:ZHURAKOVSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 29
Mailing Address - Street 2:BEHAVIORAL CONNECTIONS OF WOOD COUNTY (BCWC)
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-0029
Mailing Address - Country:US
Mailing Address - Phone:419-352-5387
Mailing Address - Fax:
Practice Address - Street 1:27072 CARRONADE DRIVE
Practice Address - Street 2:BCWC
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5300
Practice Address - Country:US
Practice Address - Phone:419-872-2419
Practice Address - Fax:419-720-5223
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235539-12084P0800X
OH35.05.35372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY192Medicaid
ZH0583337Medicare UPIN
NY346561Medicare ID - Type Unspecified
NY192Medicaid