| Ryan James Parnell DO PLLC | |
|
40 Seward Dr Dix Hills NY 11746-7908 | |
| (631) 271-9151 | |
| (631) 271-9155 |
| Full Name | Ryan James Parnell DO PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 40 Seward Dr, Dix Hills, New York |
| Authorized Official Name and Position | Ryan Parnell (OWNER) |
| Authorized Official Contact | 6312719151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan James Parnell DO PLLC 40 Seward Dr Dix Hills NY 11746-7908 Ph: (631) 271-9151 | Ryan James Parnell DO PLLC 40 Seward Dr Dix Hills NY 11746-7908 Ph: (631) 271-9151 |
| NPI Number | 1225763139 |
|---|---|
| Provider Enumeration Date | 07/24/2022 |
| Last Update Date | 07/24/2022 |
| Certification Date | 07/24/2022 |
| Medicare PECOS PAC ID | 0345617338 |
|---|---|
| Medicare Enrollment ID | O20221103002606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225763139 | NPI | - | NPPES |
| 285620 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Ryan James Parnell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598170078 PECOS PAC ID: 0840571667 Enrollment ID: I20170110000183 |
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