Healthcare Provider Details

I. General information

NPI: 1992268957
Provider Name (Legal Business Name): ELSA PARRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE
BROOKLYN NY
11203-2054
US

IV. Provider business mailing address

451 CLARKSON AVE
BROOKLYN NY
11203-2097
US

V. Phone/Fax

Practice location:
  • Phone: 718-388-5889
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number347067
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: