Provider Demographics
NPI:1366876039
Name:ZUKOSKY, BARBARA
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:ZUKOSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 LOVELL RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON BAYS
Mailing Address - State:NY
Mailing Address - Zip Code:11946-2832
Mailing Address - Country:US
Mailing Address - Phone:631-875-6492
Mailing Address - Fax:
Practice Address - Street 1:45 LOVELL RD
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-2832
Practice Address - Country:US
Practice Address - Phone:631-875-6492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist