| Betty Parisis Do Llc | |
|
275 Broadway Lynbrook NY 11563 | |
| (516) 599-0012 | |
| Not Available |
| Full Name | Betty Parisis Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 275 Broadway, Lynbrook, New York |
| Authorized Official Name and Position | Betty Parisis (OWNER) |
| Authorized Official Contact | 5165990012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Betty Parisis Do Llc 275 Broadway Lynbrook NY 11563 Ph: () - | Betty Parisis Do Llc 275 Broadway Lynbrook NY 11563 Ph: (516) 599-0012 |
| NPI Number | 1407292188 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 05/21/2013 |
| Medicare PECOS PAC ID | 0749403939 |
|---|---|
| Medicare Enrollment ID | O20140515000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407292188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Betty V Parisis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023186210 PECOS PAC ID: 2264455682 Enrollment ID: I20060111000477 |
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