Organization
DORA ZARETSKY MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BUTNER (ADMINISTRATIVE)
(718) 830-0246
Entity
Organization
Contact information
Practice address
98120 QUEENS BLVD STE 1C, REGO PARK, NY 11374-4414
(718) 830-0246
(718) 830-0246
Mailing address
98120 QUEENS BLVD STE 1C, REGO PARK, NY 11374-4414
(718) 830-0246
(718) 830-0246
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
213276-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01983086
—
NY
Enumeration date
08/02/2018
Last updated
08/02/2018
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