Healthcare Provider Details

I. General information

NPI: 1548289853
Provider Name (Legal Business Name): CINDY PARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 FOREST AVE SUITE 125
PARAMUS NJ
07652-5426
US

IV. Provider business mailing address

275 FOREST AVE SUITE 125
PARAMUS NJ
07652-5426
US

V. Phone/Fax

Practice location:
  • Phone: 201-967-9191
  • Fax: 201-967-9302
Mailing address:
  • Phone: 201-967-9191
  • Fax: 201-967-9302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA05269400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: