Provider Demographics
NPI:1336418318
Name:PARKER, SUE H (MSED)
Entity Type:Individual
Prefix:MRS
First Name:SUE
Middle Name:H
Last Name:PARKER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5414 ARLINGTON AVE APT J12
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1266
Mailing Address - Country:US
Mailing Address - Phone:347-881-8740
Mailing Address - Fax:347-964-7141
Practice Address - Street 1:5414 ARLINGTON AVE APT J12
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1266
Practice Address - Country:US
Practice Address - Phone:347-881-8740
Practice Address - Fax:347-964-7141
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist