Provider Demographics
NPI:1821090010
Name:ZURAVICKY, IGAL (MD)
Entity Type:Individual
Prefix:DR
First Name:IGAL
Middle Name:
Last Name:ZURAVICKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SOUTHWOODS BLVD
Mailing Address - Street 2:CAPITAL CARDIOLOGY ASSOCIATES, PC
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-2526
Mailing Address - Country:US
Mailing Address - Phone:518-292-6000
Mailing Address - Fax:518-292-6050
Practice Address - Street 1:854 MADISON AVE
Practice Address - Street 2:CAPITAL CARDIOLOGY ASSOCIATES, PC
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3712
Practice Address - Country:US
Practice Address - Phone:518-438-6236
Practice Address - Fax:518-438-6750
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137702207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110093184AMedicaid
NY00874502Medicaid
VT1000940Medicaid
NY00874502Medicaid
NY38842CMedicare PIN
NYB82215Medicare UPIN