Individual
JOHN PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 E MAIN ST, SUITE 12, BAY SHORE, NY 11706-8418
(631) 666-5620
(631) 666-4668
Mailing address
375 E MAIN ST, SUITE 12, BAY SHORE, NY 11706-8418
(631) 666-5620
(631) 666-4668
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2150081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2710465
—
NY
Enumeration date
07/08/2006
Last updated
09/21/2007
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