Provider Demographics
NPI:1477820355
Name:ZORABEDIAN, MARLENE CHARLOTTE (RN)
Entity Type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:CHARLOTTE
Last Name:ZORABEDIAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MARLENE
Other - Middle Name:CHARLOTTE
Other - Last Name:FARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3039 WILSON AVE
Mailing Address - Street 2:APARTMENT 2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5104
Mailing Address - Country:US
Mailing Address - Phone:907-750-0433
Mailing Address - Fax:
Practice Address - Street 1:3039 WILSON AVE
Practice Address - Street 2:APARTMENT 2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5104
Practice Address - Country:US
Practice Address - Phone:907-750-0433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY439650163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency