Provider Demographics
NPI:1477620771
Name:ZARINSKY, IRMA W (EDE)
Entity Type:Individual
Prefix:DR
First Name:IRMA
Middle Name:W
Last Name:ZARINSKY
Suffix:
Gender:F
Credentials:EDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:09140
Mailing Address - Country:US
Mailing Address - Phone:781-593-1898
Mailing Address - Fax:781-595-5455
Practice Address - Street 1:230 BROADWAY
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:09140
Practice Address - Country:US
Practice Address - Phone:781-593-1898
Practice Address - Fax:781-595-5455
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4235103TC0700X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
H4128Medicare UPIN
MAZAW04128Medicare ID - Type Unspecified