Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 142924 | NY |
Y | 2080P0202X | Pediatric Cardiologist | 142924 | NY |
NPI | 1053396325 |
---|---|
Provider Name | Ira Parness |
First Address | New York, NY 10029-6500 |
Second Address | New York, NY 10029-6500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 26/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F19337 | (02) | NY |