Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 215555 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 2155551 | NY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 61565 | MN |
NPI | 1285653139 |
---|---|
Provider Name | Debra Parisi |
First Address | New Windsor, MN 55125 |
Second Address | Woodbury, MN 55125-2522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 15/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02696633 | (05) | NY |
A400104370 | MEDICARE PTAN (01) | NY |