Provider Demographics
NPI:1720387046
Name:PARISIEN, JACQUES SERGE (MD)
Entity Type:Individual
Prefix:MR
First Name:JACQUES
Middle Name:SERGE
Last Name:PARISIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:337 COURT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-4335
Mailing Address - Country:US
Mailing Address - Phone:718-686-6833
Mailing Address - Fax:718-686-6832
Practice Address - Street 1:337 COURT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-4335
Practice Address - Country:US
Practice Address - Phone:718-686-6833
Practice Address - Fax:718-686-6832
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108462202C00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery