Provider Demographics
NPI:1447632534
Name:IRENE LOPEZ-ZILBERMAN
Entity type:Organization
Organization Name:IRENE LOPEZ-ZILBERMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ-ZILBERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-423-1863
Mailing Address - Street 1:3050 CORLEAR AVE
Mailing Address - Street 2:APT 308
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5180
Mailing Address - Country:US
Mailing Address - Phone:516-423-1863
Mailing Address - Fax:
Practice Address - Street 1:3050 CORLEAR AVE
Practice Address - Street 2:APT 308
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-5180
Practice Address - Country:US
Practice Address - Phone:516-423-1863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY633815251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health