Provider Demographics
NPI:1861589673
Name:ZARETSKY, GALINA (MD)
Entity type:Individual
Prefix:DR
First Name:GALINA
Middle Name:
Last Name:ZARETSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2534 E 29TH ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2021
Mailing Address - Country:US
Mailing Address - Phone:718-265-3003
Mailing Address - Fax:718-265-1807
Practice Address - Street 1:2327 83RD ST STE C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2749
Practice Address - Country:US
Practice Address - Phone:718-265-3003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218141207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5147150OtherCIGNA
NYP2545528OtherOXFORD
NY02098460Medicaid
NY2039348OtherUNITED HEALTHCARE
NY4C0324OtherHEALTHNET
NY9675107OtherG.H.I.
NY02098460Medicaid
NY859231Medicare PIN