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1013088210 NPI number — MITCHELL CRAIG BORGIDA LCSW

NPI Number: 1013088210
Health Care Provider/Practitioner: MITCHELL CRAIG BORGIDA LCSW

Information about “1013088210” NPI (MITCHELL CRAIG BORGIDA LCSW) exists in 1013088210 in HTML format HTML  |  1013088210 in plain Text format TXT  |  1013088210 in PDF (Portable Document Format) PDF  |  1013088210 in an XML format XML  formats.

NPI Number : 1013088210 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013088210",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BORGIDA",
    "FirstName": "MITCHELL",
    "MiddleName": "CRAIG",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "177 E 87TH ST STE 201A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10128-2226",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-879-0357",
    "MailingAddressFaxNumber": "212-879-0357",
    "FirstLinePracticeLocationAddress": "154 E 71ST ST",
    "SecondLinePracticeLocationAddress": "SUITE 1B",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10021-5125",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-879-0357",
    "PracticeLocationAddressFaxNumber": "212-879-0357",
    "EnumerationDate": "11/11/2006",
    "LastUpdateDate": "03/11/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "R034410",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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