Provider Demographics
NPI:1912232737
Name:SANGITA PARAB MEDICAL P.C.
Entity Type:Organization
Organization Name:SANGITA PARAB MEDICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANGITA
Authorized Official - Middle Name:SANTOSH
Authorized Official - Last Name:PARAB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-667-6500
Mailing Address - Street 1:431 WESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5363
Mailing Address - Country:US
Mailing Address - Phone:718-667-6500
Mailing Address - Fax:
Practice Address - Street 1:31 NEW DORP LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2320
Practice Address - Country:US
Practice Address - Phone:718-667-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242701207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty