Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003361379 |
---|---|
Provider Name | Mr. Preet Kamal Parmar |
First Address | Center Moriches, NY 11934-3518 |
Second Address | Center Moriches, NY 11934-3518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2016 |
Last Update Date | 16/08/2016 |