Provider Demographics
NPI:1679458749
Name:PARKIN, NODELIE
Entity type:Individual
Prefix:
First Name:NODELIE
Middle Name:
Last Name:PARKIN
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 1:480 BEDFORD RD STE 3201
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1726
Mailing Address - Country:US
Mailing Address - Phone:914-800-7963
Mailing Address - Fax:914-398-1796
Practice Address - Street 1:480 BEDFORD RD STE 3201
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-1726
Practice Address - Country:US
Practice Address - Phone:914-800-7963
Practice Address - Fax:914-398-1796
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy