Provider Demographics
NPI:1598812083
Name:PAREJA, NILO JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:NILO
Middle Name:JOHN
Last Name:PAREJA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:125 E 87TH ST
Mailing Address - Street 2:APT 2-B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1124
Mailing Address - Country:US
Mailing Address - Phone:212-831-6666
Mailing Address - Fax:914-472-0632
Practice Address - Street 1:125 E 87TH ST
Practice Address - Street 2:APT 2-B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1124
Practice Address - Country:US
Practice Address - Phone:212-831-6666
Practice Address - Fax:914-472-0632
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0920092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry