Provider Demographics
NPI:1598926537
Name:ZEBROWSKI, PAULA LYNN (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:LYNN
Last Name:ZEBROWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 W ONONDAGA ST
Mailing Address - Street 2:SUITE 23
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-3280
Mailing Address - Country:US
Mailing Address - Phone:315-478-0610
Mailing Address - Fax:
Practice Address - Street 1:375 W ONONDAGA ST
Practice Address - Street 2:SUITE 23
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-3280
Practice Address - Country:US
Practice Address - Phone:315-478-0610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2027852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01304489Medicaid
NY02994838OtherMCD GROUP # OCMS
NY1235184235OtherOCMS GROUP NPI #
NY01437365Medicaid
NYBA1047OtherMEDICARE GROUP # OCMS