Provider Demographics
NPI:1962445064
Name:PARSONS, WILLIAM R (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:PARSONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5465
Mailing Address - Country:US
Mailing Address - Phone:845-471-2287
Mailing Address - Fax:
Practice Address - Street 1:310 W 82ND ST
Practice Address - Street 2:APT. 4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5345
Practice Address - Country:US
Practice Address - Phone:212-300-4464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196079208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8386723OtherCIGNA
G02013Medicare UPIN