Organization
DOC Z FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL M ZIVKOVICH M.D. (MD/OWNER)
(518) 237-3629
Entity
Organization
Contact information
Practice address
54 BEDFORD ST, COHOES, NY 12047-2935
(518) 237-3629
(518) 874-2121
Mailing address
54 BEDFORD ST, COHOES, NY 12047-2935
(518) 237-3629
(518) 874-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007941
NY
Other
Enumeration date
07/06/2006
Last updated
08/12/2014
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