Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 2381300 | NJ |
Y | 207P00000X | Emergency Physician | 257915 | NY |
NPI | 1003049255 |
---|---|
Provider Name | Dr. Thomas Henry Parry |
First Address | Bronx, NY 10451-5504 |
Second Address | Bronx, NY 10451-5504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2009 |
Last Update Date | 28/02/2011 |