Provider Demographics
NPI:1043286412
Name:PARSONT, LAWRENCE M (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:M
Last Name:PARSONT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 E 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4371
Mailing Address - Country:US
Mailing Address - Phone:212-734-8485
Mailing Address - Fax:212-737-9361
Practice Address - Street 1:155 E 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4371
Practice Address - Country:US
Practice Address - Phone:212-734-8485
Practice Address - Fax:212-737-9361
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128401207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00352763Medicaid
NY339151OtherEMPIRE BCBS
NY339151Medicare PIN
NY339151OtherEMPIRE BCBS