Provider Demographics
NPI:1851576235
Name:ZAREMBA, MARLYSE (LSCW)
Entity Type:Individual
Prefix:
First Name:MARLYSE
Middle Name:
Last Name:ZAREMBA
Suffix:
Gender:F
Credentials:LSCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 BEEKMAN AVE APT 314F
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-2562
Mailing Address - Country:US
Mailing Address - Phone:914-332-1754
Mailing Address - Fax:
Practice Address - Street 1:95 BEEKMAN AVE APT 314F
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2562
Practice Address - Country:US
Practice Address - Phone:914-332-1754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR059187-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
N600EIMedicare PIN