1235215831 NPI number — MRS. PARISA TAFRESHI-ORAEE MD

Table of content: MRS. PARISA TAFRESHI-ORAEE MD (NPI 1235215831)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235215831 NPI number — MRS. PARISA TAFRESHI-ORAEE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAFRESHI-ORAEE
Provider First Name:
PARISA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235215831
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
174 EAST 205TH ST.
Provider Second Line Business Mailing Address:
FLOOR C
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10458
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-562-2200
Provider Business Mailing Address Fax Number:
718-562-2194

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
174 EAST 205TH ST.
Provider Second Line Business Practice Location Address:
FLOOR C
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-562-2200
Provider Business Practice Location Address Fax Number:
718-562-2194
Provider Enumeration Date:
10/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  211837 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2009814 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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