Provider Demographics
NPI:1275679789
Name:ZWIRN, ILENE (MD)
Entity Type:Individual
Prefix:DR
First Name:ILENE
Middle Name:
Last Name:ZWIRN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:151 E 90TH ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-2349
Mailing Address - Country:US
Mailing Address - Phone:212-860-0600
Mailing Address - Fax:212-860-6622
Practice Address - Street 1:151 E 90TH ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-2349
Practice Address - Country:US
Practice Address - Phone:212-860-0600
Practice Address - Fax:212-860-6622
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1866102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry