Provider Demographics
NPI:1710094008
Name:PARASMO, FRANK JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOHN
Last Name:PARASMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1644 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-5211
Mailing Address - Country:US
Mailing Address - Phone:631-667-5222
Mailing Address - Fax:631-667-9411
Practice Address - Street 1:1644 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-5211
Practice Address - Country:US
Practice Address - Phone:631-667-5222
Practice Address - Fax:631-667-9411
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133967173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY34A051OtherMEDICARE BLUE
NY00712414Medicaid
NYC08751Medicare UPIN