Healthcare Provider Details

I. General information

NPI: 1982519971
Provider Name (Legal Business Name): ANGELA PATRICIA PARRA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6515 38TH AVE APT 6H
WOODSIDE NY
11377-2907
US

IV. Provider business mailing address

6515 38TH AVE APT 6H
WOODSIDE NY
11377-2907
US

V. Phone/Fax

Practice location:
  • Phone: 646-288-1389
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number049072
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: