Provider Demographics
NPI:1043668049
Name:PARASHER DENTAL PC
Entity Type:Organization
Organization Name:PARASHER DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:PRIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARASHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-293-7670
Mailing Address - Street 1:124 E 170TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-7021
Mailing Address - Country:US
Mailing Address - Phone:718-293-7670
Mailing Address - Fax:718-293-7672
Practice Address - Street 1:124 E 170TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-7021
Practice Address - Country:US
Practice Address - Phone:718-293-7670
Practice Address - Fax:718-293-7672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02548281Medicaid