Provider Demographics
NPI:1578564274
Name:PARNES, ELIEZER ALLEN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIEZER
Middle Name:ALLEN LEE
Last Name:PARNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALLEN
Other - Middle Name:LEE
Other - Last Name:PARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3131 KINGS HWY
Mailing Address - Street 2:SUITE D-5
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2644
Mailing Address - Country:US
Mailing Address - Phone:718-338-2283
Mailing Address - Fax:718-677-7112
Practice Address - Street 1:3131 KINGS HWY
Practice Address - Street 2:SUITE D-5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2644
Practice Address - Country:US
Practice Address - Phone:718-338-2283
Practice Address - Fax:718-677-7112
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171752207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY015321636Medicaid
NY93H082Medicare PIN
NY015321636Medicaid