Healthcare Provider Details

I. General information

NPI: 1821293598
Provider Name (Legal Business Name): COLLEEN ELIZABETH PARENT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 STATE ST
SCHENECTADY NY
12307-1206
US

IV. Provider business mailing address

728 STATE ST
SCHENECTADY NY
12307-1206
US

V. Phone/Fax

Practice location:
  • Phone: 518-346-4436
  • Fax: 518-346-3522
Mailing address:
  • Phone: 518-346-4436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number256078
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: