Individual provider · Type 1 NPI
Stefanie M. Parker, PA
Medical Physician Assistant · New York, NY
NPI number
1689104655
Active
Practice location
3143 Broadway Apt 1C
New York, NY 10027-4107
Mailing address
7901 Broadway
Elmhurst, NY 11373-1329
Other practice locations
- 512 S Main St Ste A, Hinesville, GA 31313-4344 · (912) 369-5437
- 7901 Broadway, Elmhurst, NY 11373-1329 · (718) 334-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 022842 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 022842 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1689104655
Stefanie M. Parker, PA's National Provider Identifier is 1689104655, issued on Jun 13, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Feb 2, 2019.