Provider Demographics
NPI:1205278918
Name:PARODY, LAURA MARIA
Entity type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:MARIA
Last Name:PARODY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 CHRISTOPHER ST
Mailing Address - Street 2:APT 6P
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2803
Mailing Address - Country:US
Mailing Address - Phone:305-582-8319
Mailing Address - Fax:
Practice Address - Street 1:165 CHRISTOPHER ST
Practice Address - Street 2:APT 6P
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2803
Practice Address - Country:US
Practice Address - Phone:305-582-8319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program