Provider Demographics
NPI:1023299245
Name:PARCHMENT, ELSA ELIZA
Entity type:Individual
Prefix:
First Name:ELSA
Middle Name:ELIZA
Last Name:PARCHMENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 NEEDHAM AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-1549
Mailing Address - Country:US
Mailing Address - Phone:718-231-9367
Mailing Address - Fax:
Practice Address - Street 1:1470 NEEDHAM AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-1549
Practice Address - Country:US
Practice Address - Phone:718-231-9367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252299164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse