| Doc Z Family Practice Pc | |
|
54 Bedford St Cohoes NY 12047-2935 | |
| (518) 237-3629 | |
| (518) 874-2121 |
| Full Name | Doc Z Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 54 Bedford St, Cohoes, New York |
| Authorized Official Name and Position | Russell M Zivkovich (MD/OWNER) |
| Authorized Official Contact | 5182373629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc Z Family Practice Pc 54 Bedford St Cohoes NY 12047-2935 Ph: (518) 237-3629 | Doc Z Family Practice Pc 54 Bedford St Cohoes NY 12047-2935 Ph: (518) 237-3629 |
| NPI Number | 1699706861 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/12/2014 |
| Medicare PECOS PAC ID | 5496761561 |
|---|---|
| Medicare Enrollment ID | O20121024000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699706861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2007941 (New York) | Primary |
| Provider Name | Russell M Zivkovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538190707 PECOS PAC ID: 1658387725 Enrollment ID: I20060228000111 |
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