Provider Demographics
NPI:1477729606
Name:BELISOVA-GYURE, ZUZANA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZUZANA
Middle Name:
Last Name:BELISOVA-GYURE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZUZANA
Other - Middle Name:
Other - Last Name:BELISOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1000 10TH AVE
Mailing Address - Street 2:SUITE 2T
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1147
Mailing Address - Country:US
Mailing Address - Phone:212-523-6500
Mailing Address - Fax:212-523-7182
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-598-2328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2490272084N0400X, 2084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400127465OtherMEDICARE PTAN
NY03322387Medicaid