Provider Demographics
NPI:1528395167
Name:LEO PARNES DO PC
Entity Type:Organization
Organization Name:LEO PARNES DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:PARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-853-2462
Mailing Address - Street 1:P.O. BOX 392
Mailing Address - Street 2:LEO PARNES DO PC
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598
Mailing Address - Country:US
Mailing Address - Phone:718-853-2462
Mailing Address - Fax:718-871-9090
Practice Address - Street 1:201 OCEAN PARKWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2569
Practice Address - Country:US
Practice Address - Phone:718-853-2462
Practice Address - Fax:718-871-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105517207Q00000X
NY210518207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00241694Medicaid
NYA63346Medicare UPIN