Provider Demographics
NPI:1437579018
Name:ZYSIK, MEGHAN FOLEY (MD)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:FOLEY
Last Name:ZYSIK
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 1:30 BRIDGES AVE
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662-1829
Mailing Address - Country:US
Mailing Address - Phone:617-480-1904
Mailing Address - Fax:
Practice Address - Street 1:391 MYRTLE AVE STE 2
Practice Address - Street 2:MAIL CODE 74
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3513
Practice Address - Country:US
Practice Address - Phone:518-262-4942
Practice Address - Fax:518-262-2675
Is Sole Proprietor?:No
Enumeration Date:2014-04-22
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275800207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology