Provider Demographics
NPI:1740384866
Name:ZHURAVLEVA, KARINA (MD)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:ZHURAVLEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:755 N BROADWAY
Mailing Address - Street 2:SUITE 560 SLEEPY HOLLOW MEDICAL GROUP @ PHELPS
Mailing Address - City:SLEEPY
Mailing Address - State:NY
Mailing Address - Zip Code:10591
Mailing Address - Country:US
Mailing Address - Phone:914-631-0337
Mailing Address - Fax:914-631-0552
Practice Address - Street 1:755 N BROADWAY
Practice Address - Street 2:SUITE 560
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1075
Practice Address - Country:US
Practice Address - Phone:914-631-0337
Practice Address - Fax:914-631-0552
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY230920-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY76196000Medicaid
NYG75682OtherMEDICARE-UNSPECIFIED
NYG75682OtherMEDICARE-UNSPECIFIED