Provider Demographics
NPI:1053623272
Name:POPIVKER, ZOYA
Entity type:Individual
Prefix:DR
First Name:ZOYA
Middle Name:
Last Name:POPIVKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF PSYCHIATRY
Mailing Address - Street 2:PUTNAM HALL, SUNY AT STONY BROOK
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8790
Mailing Address - Country:US
Mailing Address - Phone:631-632-8850
Mailing Address - Fax:631-632-4448
Practice Address - Street 1:DEPARTMENT OF PSYCHIATRY
Practice Address - Street 2:PUTNAM HALL, SUNY AT STONY BROOK
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8790
Practice Address - Country:US
Practice Address - Phone:631-632-8850
Practice Address - Fax:631-632-4448
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2632312084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry