Basic Information
| Provider Information | |||||||||
| NPI: | 1740273150 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZHABINSKAYA | ||||||||
| FirstName: | IRINA | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 E MAIN ST | ||||||||
| Address2: | NORTHERN WESTCHESTER HOSPITAL -MEDICAL AFFAIRS | ||||||||
| City: | MOUNT KISCO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105493417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146661200 | ||||||||
| FaxNumber: | 9146661965 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 E MAIN ST | ||||||||
| Address2: | NORTHERN WESTCHESTER HOSPITAL 4TH FLOOR | ||||||||
| City: | MOUNT KISCO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105493417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146661200 | ||||||||
| FaxNumber: | 9146661973 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 208000000X | 206975 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 000000071974 | 01 | GHI-HMO PIN# | OTHER | 040426013353 | 01 | FIDELISCARE PIN | OTHER | 5116677 | 01 | AETNA-HMO PROVIDER ID | OTHER | 10059570-U104 | 01 | CDPHP PIN & GRP PIN | OTHER | 01838119 | 01 | NY-MEDICAID | OTHER | 381904 | 01 | MVP HEALTHPLAN PIN# | OTHER | P841934 | 01 | OXFORD HEALTH PLAN PIN# | OTHER | 2683486 | 01 | AETNA-HMO PROVIDER ID | OTHER | 2695461 | 01 | GHI-PPO PIN# | OTHER | 3C5202 | 01 | HEALTHNET GROUP PIN# | OTHER | 1947107 | 01 | FIRST HEALTH PIN | OTHER | 462Y71 | 01 | EMPIRE BCBS PIN# | OTHER |