Provider Demographics
NPI:1497550248
Name:ZADRIMA, DIANA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:ZADRIMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:TINAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1 CANDLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:THORNWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:10594-2130
Mailing Address - Country:US
Mailing Address - Phone:914-557-9239
Mailing Address - Fax:
Practice Address - Street 1:1983 CROMPOND RD STE 203
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4121
Practice Address - Country:US
Practice Address - Phone:914-380-8636
Practice Address - Fax:914-380-8636
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002412106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist