Provider Demographics
NPI:1033384144
Name:ZILKHA RADIOLOGY, PC
Entity Type:Organization
Organization Name:ZILKHA RADIOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZILKHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-277-1600
Mailing Address - Street 1:1161 MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-4930
Mailing Address - Country:US
Mailing Address - Phone:631-277-1600
Mailing Address - Fax:631-277-1638
Practice Address - Street 1:1161 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4930
Practice Address - Country:US
Practice Address - Phone:631-277-1600
Practice Address - Fax:631-277-1638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03093336Medicaid
NYW0E072Medicare PIN