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1023640448 NPI number — LEONTINE JULIE VAN ELDEN MD, PHD

NPI Number: 1023640448
Health Care Provider/Practitioner: LEONTINE JULIE VAN ELDEN MD, PHD

Information about “1023640448” NPI (LEONTINE JULIE VAN ELDEN MD, PHD) exists in 1023640448 in HTML format HTML  |  1023640448 in plain Text format TXT  |  1023640448 in PDF (Portable Document Format) PDF  |  1023640448 in an XML format XML  formats.

NPI Number : 1023640448 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023640448",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VAN ELDEN",
    "FirstName": "LEONTINE",
    "MiddleName": "JULIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD, PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "22 W 95TH ST APT 1R",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10025-6775",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "929-371-9077",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1275 YORK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10065-6007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-422-4922",
    "PracticeLocationAddressFaxNumber": "212-988-0683",
    "EnumerationDate": "02/05/2020",
    "LastUpdateDate": "02/05/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RP1001X",
        "TaxonomyName": "Pulmonary Disease Physician",
        "LicenseNumber": "301630",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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