Provider Demographics
NPI:1942288998
Name:KARIMI, PARSA (DPT)
Entity Type:Individual
Prefix:MR
First Name:PARSA
Middle Name:
Last Name:KARIMI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2701
Mailing Address - Country:US
Mailing Address - Phone:631-691-6900
Mailing Address - Fax:631-691-6910
Practice Address - Street 1:11 BROADWAY
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2701
Practice Address - Country:US
Practice Address - Phone:631-691-6900
Practice Address - Fax:631-691-6910
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025489225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPKOQ14G01Medicare ID - Type UnspecifiedPROVIDER ID