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1043349194 NPI number — SMART MEDICAL CARE PC

NPI Number: 1043349194
Health Care Provider/Practitioner: SMART MEDICAL CARE PC

Information about “1043349194” NPI (SMART MEDICAL CARE PC) exists in 1043349194 in HTML format HTML  |  1043349194 in plain Text format TXT  |  1043349194 in PDF (Portable Document Format) PDF  |  1043349194 in an XML format XML  formats.

NPI Number : 1043349194 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043349194",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SMART MEDICAL CARE PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8746 168TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JAMAICA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11432-3628",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-526-6660",
    "MailingAddressFaxNumber": "718-526-6661",
    "FirstLinePracticeLocationAddress": "8746 168TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JAMAICA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11432-3628",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-526-6660",
    "PracticeLocationAddressFaxNumber": "718-526-6661",
    "EnumerationDate": "03/05/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHOWDHURY",
    "AuthorizedOfficialFirstName": "AYM MAKSUDUL",
    "AuthorizedOfficialMiddleName": "ALAM",
    "AuthorizedOfficialTitle": "MD",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "718-526-6660",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM2500X",
        "TaxonomyName": "Medical Specialty Clinic/Center",
        "LicenseNumber": "236132",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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