Provider Demographics
NPI:1508697111
Name:PARASMO, ELIZABETH (ACC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:PARASMO
Suffix:
Gender:F
Credentials:ACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 FAIRBANKS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-2023
Mailing Address - Country:US
Mailing Address - Phone:929-249-0117
Mailing Address - Fax:
Practice Address - Street 1:311 FAIRBANKS AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-2023
Practice Address - Country:US
Practice Address - Phone:929-249-0117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty