Provider Demographics
NPI:1558480129
Name:PARBUS, MARYANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:
Last Name:PARBUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 THRASHER AVE
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-1010
Mailing Address - Country:US
Mailing Address - Phone:631-286-1948
Mailing Address - Fax:
Practice Address - Street 1:18 THRASHER AVE
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-1010
Practice Address - Country:US
Practice Address - Phone:631-286-1948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY391532251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare