Provider Demographics
NPI:1740249648
Name:PARISIER, SIMON CLAUDE (MD)
Entity type:Individual
Prefix:DR
First Name:SIMON
Middle Name:CLAUDE
Last Name:PARISIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SIMON
Other - Middle Name:
Other - Last Name:PARISIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:310 E 14TH ST
Mailing Address - Street 2:6 FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4201
Mailing Address - Country:US
Mailing Address - Phone:212-979-4200
Mailing Address - Fax:212-979-4510
Practice Address - Street 1:310 E 14TH ST
Practice Address - Street 2:6 FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4201
Practice Address - Country:US
Practice Address - Phone:212-979-4200
Practice Address - Fax:212-979-4510
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY089861174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC10623Medicare UPIN
NY502353Medicare ID - Type Unspecified