Provider Demographics
NPI:1235215831
Name:TAFRESHI-ORAEE, PARISA (MD)
Entity Type:Individual
Prefix:MRS
First Name:PARISA
Middle Name:
Last Name:TAFRESHI-ORAEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 EAST 205TH ST.
Mailing Address - Street 2:FLOOR C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458
Mailing Address - Country:US
Mailing Address - Phone:718-562-2200
Mailing Address - Fax:718-562-2194
Practice Address - Street 1:174 EAST 205TH ST.
Practice Address - Street 2:FLOOR C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458
Practice Address - Country:US
Practice Address - Phone:718-562-2200
Practice Address - Fax:718-562-2194
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211837208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2009814Medicaid
H31317Medicare UPIN
2B2941Medicare ID - Type Unspecified