Healthcare Provider Details

I. General information

NPI: 1124956982
Provider Name (Legal Business Name): NICHOLAS PARSLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 NESCONSET HWY STE 222
MOUNT SINAI NY
11766-2026
US

IV. Provider business mailing address

5505 NESCONSET HWY STE 222
MOUNT SINAI NY
11766-2026
US

V. Phone/Fax

Practice location:
  • Phone: 631-828-2264
  • Fax:
Mailing address:
  • Phone: 631-828-2264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18-P141382-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: