Individual
MICHAEL JAMES ZAKARAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2134 STATE HIGHWAY 420, MASSENA, NY 13662-3351
(315) 769-6742
(315) 769-6700
Mailing address
2134 STATE HIGHWAY 420, MASSENA, NY 13662-3351
(315) 769-6742
(315) 769-6700
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03702196
—
NY
Enumeration date
02/17/2021
Last updated
02/17/2021
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