Provider Demographics
NPI:1093271009
Name:PARISH, NEVIN JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:NEVIN
Middle Name:JOSEPH
Last Name:PARISH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 W SENECA ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MANLIUS
Mailing Address - State:NY
Mailing Address - Zip Code:13104-2480
Mailing Address - Country:US
Mailing Address - Phone:315-854-3854
Mailing Address - Fax:877-542-0104
Practice Address - Street 1:102 W SENECA ST STE 205
Practice Address - Street 2:
Practice Address - City:MANLIUS
Practice Address - State:NY
Practice Address - Zip Code:13104-2480
Practice Address - Country:US
Practice Address - Phone:315-854-3854
Practice Address - Fax:877-542-0104
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-14
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty