Provider Demographics
NPI:1730476862
Name:PARSLEY, BRIAN HENRY (LPN)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:HENRY
Last Name:PARSLEY
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 MILL RD
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-4109
Mailing Address - Country:US
Mailing Address - Phone:631-578-7918
Mailing Address - Fax:
Practice Address - Street 1:439 MILL RD
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-4109
Practice Address - Country:US
Practice Address - Phone:631-578-7918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-10
Last Update Date:2011-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304720-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse