Basic Information
Provider Information
NPI: 1023244167
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARNAS
FirstName: TAYA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 2422 CENTRAL PARK AVE
Address2:  
City: YONKERS
State: NY
PostalCode: 107101125
CountryCode: US
TelephoneNumber: 9147792995
FaxNumber: 9147793266
Practice Location
Address1: 77 WARREN STREET
Address2: ST.ELIZABETH MEDICAL CENTER, ADULT MEDICINE
City: BOSTON
State: MA
PostalCode: 02135
CountryCode: US
TelephoneNumber: 6175625250
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/03/2009
LastUpdateDate: 12/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X252351-1NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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