Provider Demographics
NPI:1902505407
Name:ZUK, MADISON LEIGH (BSN, RN)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:LEIGH
Last Name:ZUK
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 STONE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-4610
Mailing Address - Country:US
Mailing Address - Phone:518-934-1942
Mailing Address - Fax:
Practice Address - Street 1:322 STONE CHURCH RD
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-4610
Practice Address - Country:US
Practice Address - Phone:518-934-1942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY818067163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine