Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 040075 | NY |
NPI | 1003903337 |
---|---|
Provider Name | Dr. David M Parnagian |
First Address | Lindenhurst, NY 11757-2000 |
Second Address | Lindenhurst, NY 11757-2000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 06/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01349251 | (05) | NY |