Provider Demographics
NPI:1407826597
Name:CHIPECO, ZAYDA F (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAYDA
Middle Name:F
Last Name:CHIPECO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 KINGSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-6930
Mailing Address - Country:US
Mailing Address - Phone:201-866-5279
Mailing Address - Fax:201-866-5279
Practice Address - Street 1:37 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3901
Practice Address - Country:US
Practice Address - Phone:718-636-5900
Practice Address - Fax:718-636-5902
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105429207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00184161Medicaid
NY660072Medicare ID - Type Unspecified
NY00184161Medicaid
NY01HCRNMedicare PIN