Individual
KATHRYN S PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M,D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 960-1400
Mailing address
PO BOX 722, SHOREHAM, NY 11786-0722
(917) 921-5262
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
206856
NY
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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