Provider Demographics
NPI:1033315643
Name:ZUBCHEVICH PSYCHIATRIC ASSOCIATES, INC.
Entity Type:Organization
Organization Name:ZUBCHEVICH PSYCHIATRIC ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMIRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ZUBCHEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-439-8050
Mailing Address - Street 1:PO BOX 1146
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-1146
Mailing Address - Country:US
Mailing Address - Phone:724-439-8050
Mailing Address - Fax:
Practice Address - Street 1:7835 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5104
Practice Address - Country:US
Practice Address - Phone:724-439-8050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028902L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA018104XD0Medicare PIN
PAE55402Medicare UPIN