Healthcare Provider Details

I. General information

NPI: 1295928521
Provider Name (Legal Business Name): MARTHA FERRIN ZAVRAS RN,BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E MAIN ST
MOUNT KISCO NY
10549-3417
US

IV. Provider business mailing address

48 OAKRIDGE RD
NORTH SALEM NY
10560-2705
US

V. Phone/Fax

Practice location:
  • Phone: 914-666-1200
  • Fax:
Mailing address:
  • Phone: 914-276-2107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number302184-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: