Provider Demographics
NPI:1972723773
Name:PARS MEDICAL PC
Entity type:Organization
Organization Name:PARS MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:KREIZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-431-2959
Mailing Address - Street 1:5223 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2913
Mailing Address - Country:US
Mailing Address - Phone:718-431-2959
Mailing Address - Fax:718-431-2974
Practice Address - Street 1:5223 9TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2913
Practice Address - Country:US
Practice Address - Phone:718-431-2959
Practice Address - Fax:718-431-2974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDE9758OtherRAILROAD MEDICARE
NY3947312OtherAETNA HMO
NY7125723OtherAETNA PPO
NY07138OtherMEDICARE GHI
NY602403400OtherUS DEPARTMENT OF LABOR
NYWEU401Medicare PIN