Provider Demographics
NPI:1629009519
Name:POWERS, MARIANNE (FNP-BC, MS)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:FNP-BC, MS
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:
Other - Last Name:ZABINSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC, MS
Mailing Address - Street 1:411 MAIN STREET
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-2000
Mailing Address - Country:US
Mailing Address - Phone:518-719-3580
Mailing Address - Fax:518-719-3797
Practice Address - Street 1:411 MAIN STREET
Practice Address - Street 2:3RD FLOOR
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-2000
Practice Address - Country:US
Practice Address - Phone:518-719-3580
Practice Address - Fax:518-719-3797
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334668363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02733306Medicaid
NY1595G1Medicare PIN
Q65876Medicare UPIN