Basic Information
| Provider Information | |||||||||
| NPI: | 1437579018 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZYSIK | ||||||||
| FirstName: | MEGHAN | ||||||||
| MiddleName: | FOLEY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 BRIDGES AVE | ||||||||
| Address2: | |||||||||
| City: | MASSENA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 136621829 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6174801904 | ||||||||
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| Practice Location | |||||||||
| Address1: | 391 MYRTLE AVE STE 2 | ||||||||
| Address2: | MAIL CODE 74 | ||||||||
| City: | ALBANY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 122083513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5182624942 | ||||||||
| FaxNumber: | 5182622675 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2014 | ||||||||
| LastUpdateDate: | 04/26/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 275800 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.