Provider Demographics
NPI:1639114010
Name:CHERNYK, ZENIA A (DO)
Entity Type:Individual
Prefix:DR
First Name:ZENIA
Middle Name:A
Last Name:CHERNYK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 HENRIETTA AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-8502
Mailing Address - Country:US
Mailing Address - Phone:215-663-9006
Mailing Address - Fax:215-663-5673
Practice Address - Street 1:930 HENRIETTA AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8502
Practice Address - Country:US
Practice Address - Phone:215-663-9006
Practice Address - Fax:215-663-5673
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003929L207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000875883Medicaid
PA065697Medicare ID - Type Unspecified
PA000875883Medicaid