{
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"FirstLineMailingAddress": "83-40 WOODHAVEN BLVD",
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"PracticeLocationAddressFaxNumber": "718-849-7854",
"EnumerationDate": "11/06/2006",
"LastUpdateDate": "10/22/2010",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "CIMMINO",
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"Taxonomies": {
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"TaxonomyName": "Sports Medicine (Family Medicine) Physician",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}