Provider Demographics
NPI:1588052534
Name:PARET JEAN BAPTISTE, ENIDE
Entity type:Individual
Prefix:
First Name:ENIDE
Middle Name:
Last Name:PARET JEAN BAPTISTE
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 1:9023 195TH PL
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-2631
Mailing Address - Country:US
Mailing Address - Phone:347-314-0752
Mailing Address - Fax:
Practice Address - Street 1:9023 195TH PL
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-2631
Practice Address - Country:US
Practice Address - Phone:347-314-0752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-29
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316911164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse