Provider Demographics
NPI:1326104449
Name:PARAS, CAROL (MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:PARAS
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 1:275 N MIDDLETOWN RD
Mailing Address - Street 2:SUITE 1 D
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1142
Mailing Address - Country:US
Mailing Address - Phone:845-735-4700
Mailing Address - Fax:845-735-3131
Practice Address - Street 1:275 N MIDDLETOWN RD
Practice Address - Street 2:SUITE 1 D
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1142
Practice Address - Country:US
Practice Address - Phone:845-735-4700
Practice Address - Fax:845-735-3131
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1498992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP05561OtherOXFORD INSURANCE
NY15D231Medicare ID - Type UnspecifiedMEDICARE