NPI | 1154075976 |
---|---|
Doing Business As | TRISTATE ZIPHYCARE MEDICAL |
Entity Type | Organization |
Authorized Contact | GENNADY UKRAINSKY Medical Director 844-947-6782 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
Enumeration Date | 2022-02-10 |
Last Update Date | 2022-02-10 |