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1043577067 NPI number — DR. CHRISTINA PENTLOW

NPI Number: 1043577067
Health Care Provider/Practitioner: DR. CHRISTINA PENTLOW

Information about “1043577067” NPI (DR. CHRISTINA PENTLOW) exists in 1043577067 in HTML format HTML  |  1043577067 in plain Text format TXT  |  1043577067 in PDF (Portable Document Format) PDF  |  1043577067 in an XML format XML  formats.

NPI Number : 1043577067 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043577067",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PENTLOW",
    "FirstName": "CHRISTINA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "67129 CLYDE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FOREST HILLS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11375-4110",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-903-6037",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2001 MARCUS AVE STE N204",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW HYDE PARK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11042-1084",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-321-5050",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/15/2012",
    "LastUpdateDate": "07/21/2022",
    "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": "207RE0101X",
          "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
          "LicenseNumber": "279708-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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