Provider Demographics
NPI:1740273150
Name:ZHABINSKAYA, IRINA (MD)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:ZHABINSKAYA
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 1:400 E MAIN ST
Mailing Address - Street 2:NORTHERN WESTCHESTER HOSPITAL -MEDICAL AFFAIRS
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3417
Mailing Address - Country:US
Mailing Address - Phone:914-666-1200
Mailing Address - Fax:914-666-1965
Practice Address - Street 1:400 E MAIN ST
Practice Address - Street 2:NORTHERN WESTCHESTER HOSPITAL 4TH FLOOR
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3417
Practice Address - Country:US
Practice Address - Phone:914-666-1200
Practice Address - Fax:914-666-1973
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206975208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000071974OtherGHI-HMO PIN#
040426013353OtherFIDELISCARE PIN
5116677OtherAETNA-HMO PROVIDER ID
10059570-U104OtherCDPHP PIN & GRP PIN
01838119OtherNY-MEDICAID
381904OtherMVP HEALTHPLAN PIN#
P841934OtherOXFORD HEALTH PLAN PIN#
2683486OtherAETNA-HMO PROVIDER ID
2695461OtherGHI-PPO PIN#
3C5202OtherHEALTHNET GROUP PIN#
1947107OtherFIRST HEALTH PIN
462Y71OtherEMPIRE BCBS PIN#
000000071974OtherGHI-HMO PIN#