Provider Demographics
NPI:1760895122
Name:PARCON, KRISTINE MAY B (DPT)
Entity Type:Individual
Prefix:MISS
First Name:KRISTINE MAY
Middle Name:B
Last Name:PARCON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8831 179TH PL
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4735
Mailing Address - Country:US
Mailing Address - Phone:347-891-8231
Mailing Address - Fax:
Practice Address - Street 1:9614 METROPOLITAN AVE STE B
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6675
Practice Address - Country:US
Practice Address - Phone:718-424-9531
Practice Address - Fax:718-424-2695
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027811225100000X, 2251G0304X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics