Healthcare Provider Details

I. General information

NPI: 1366012635
Provider Name (Legal Business Name): SHRINA PAREKH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 7TH AVE FL 12
NEW YORK NY
10019-6892
US

IV. Provider business mailing address

729 7TH AVE FL 12
NEW YORK NY
10019-6892
US

V. Phone/Fax

Practice location:
  • Phone: 212-930-7300
  • Fax:
Mailing address:
  • Phone: 212-930-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number339145
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: