Provider Demographics
NPI:1730133224
Name:PARSAN, DIANE (PT)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:
Last Name:PARSAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 SHORE PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1130
Mailing Address - Country:US
Mailing Address - Phone:718-646-5700
Mailing Address - Fax:718-646-8802
Practice Address - Street 1:3900 SHORE PKWY
Practice Address - Street 2:OCEAN VIEW MEDICAL P.C.
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1130
Practice Address - Country:US
Practice Address - Phone:718-646-5700
Practice Address - Fax:718-646-8802
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018824-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ32U4EX981OtherPTAN
NYQ32U4EX981OtherPTAN