Healthcare Provider Details

I. General information

NPI: 1629980719
Provider Name (Legal Business Name): PARVATHY NAIR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE
BROOKLYN NY
11203-2054
US

IV. Provider business mailing address

963 N 5TH ST
NEW HYDE PARK NY
11040-2933
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-7013
  • Fax:
Mailing address:
  • Phone: 508-395-5968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number312871
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: