Provider Demographics
NPI:1720160195
Name:PEET, PARRY A (DC)
Entity Type:Individual
Prefix:DR
First Name:PARRY
Middle Name:A
Last Name:PEET
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SPRING SQUARE BUSINESS PARK
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-2567
Mailing Address - Country:US
Mailing Address - Phone:845-566-1313
Mailing Address - Fax:845-566-1379
Practice Address - Street 1:2 SPRING SQUARE BUSINESS PARK
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-2567
Practice Address - Country:US
Practice Address - Phone:845-566-1313
Practice Address - Fax:845-566-1379
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC04107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2003809OtherAETNA PROVIDER ID
NY10089518OtherCDCHP PROVIDER ID
NY911668OtherACN PROVIDER ID
NYPP105803OtherASH PROVIDER ID
NY815968OtherMPN PROVIDER ID
NY98L910OtherMVP PROVIDER ID
NY6004746OtherGHI PROVIDER ID
NY815968OtherMPN PROVIDER ID