Provider Demographics
NPI:1649400045
Name:ZINGER, YULIYA (MD)
Entity Type:Individual
Prefix:
First Name:YULIYA
Middle Name:
Last Name:ZINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YULIYA
Other - Middle Name:
Other - Last Name:ZINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-2360
Practice Address - Country:US
Practice Address - Phone:570-271-6012
Practice Address - Fax:570-271-7923
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4326592084N0402X, 2080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1025251800001Medicaid
PA1025251800001Medicaid