Provider Demographics
NPI:1265730303
Name:PARSONS, JAMES HARTWELL III (MS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:HARTWELL
Last Name:PARSONS
Suffix:III
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8357 118TH ST
Mailing Address - Street 2:2B
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2366
Mailing Address - Country:US
Mailing Address - Phone:347-392-4094
Mailing Address - Fax:
Practice Address - Street 1:8357 118TH ST
Practice Address - Street 2:2B
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2366
Practice Address - Country:US
Practice Address - Phone:347-392-4094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-13
Last Update Date:2011-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY27-5474515OtherEIN