Provider Demographics
NPI:1023244167
Name:PARNAS, TAYA (MD)
Entity type:Individual
Prefix:
First Name:TAYA
Middle Name:
Last Name:PARNAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2422 CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1125
Mailing Address - Country:US
Mailing Address - Phone:914-779-2995
Mailing Address - Fax:914-779-3266
Practice Address - Street 1:77 WARREN STREET
Practice Address - Street 2:ST.ELIZABETH MEDICAL CENTER, ADULT MEDICINE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-562-5250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2018-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252351-1207R00000X
MA244151207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine