Provider Demographics
NPI:1740465053
Name:PARSI, BIJAN (RPH)
Entity type:Individual
Prefix:
First Name:BIJAN
Middle Name:
Last Name:PARSI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SANDALWOOD LN
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-2083
Mailing Address - Country:US
Mailing Address - Phone:845-876-5713
Mailing Address - Fax:
Practice Address - Street 1:35 SANDALWOOD LN
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-2083
Practice Address - Country:US
Practice Address - Phone:845-876-5713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY037010OtherNEW STATE LICENSE