Provider Demographics
NPI:1033770185
Name:PARYS, CAITLIN ALVERSON (AUD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:ALVERSON
Last Name:PARYS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 COURT ST APT 25
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-4349
Mailing Address - Country:US
Mailing Address - Phone:404-547-8942
Mailing Address - Fax:
Practice Address - Street 1:180 FT WASHINGTN AVE STE 8-816
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3722
Practice Address - Country:US
Practice Address - Phone:404-547-8942
Practice Address - Fax:212-342-5239
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002889231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05691869Medicaid