Provider Demographics
NPI:1609827575
Name:MARSHALL, ZEENA L (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEENA
Middle Name:L
Last Name:MARSHALL
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 1:130 PONDFIELD RD STE 1
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-4016
Mailing Address - Country:US
Mailing Address - Phone:914-337-3253
Mailing Address - Fax:914-337-7013
Practice Address - Street 1:130 PONDFIELD RD STE 1
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-4016
Practice Address - Country:US
Practice Address - Phone:914-337-3253
Practice Address - Fax:914-337-7013
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME561092084P0800X, 2084P0804X
NY2334142084B0040X, 2084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL061400900Medicaid
NY02958309Medicaid
NYA400009588Medicare PIN
FL061400900Medicaid