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1043875552 NPI number — MRS. NATALYA V FRYAZIN

NPI Number: 1043875552
Health Care Provider/Practitioner: MRS. NATALYA V FRYAZIN

Information about “1043875552” NPI (MRS. NATALYA V FRYAZIN) exists in 1043875552 in HTML format HTML  |  1043875552 in plain Text format TXT  |  1043875552 in PDF (Portable Document Format) PDF  |  1043875552 in an XML format XML  formats.

NPI Number : 1043875552 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043875552",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FRYAZIN",
    "FirstName": "NATALYA",
    "MiddleName": "V",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BELOSHEVSKAYA",
    "OtherFirstName": "NATALYA",
    "OtherMiddleName": "V",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4401 PARK AVE APT 4D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "UNION CITY",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07087-6360",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-404-3452",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "444 60TH ST.",
    "SecondLinePracticeLocationAddress": "2ND FLR",
    "PracticeLocationAddressCityName": "WEST NEW YORK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07093",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-430-5233",
    "PracticeLocationAddressFaxNumber": "201-210-4435",
    "EnumerationDate": "05/09/2019",
    "LastUpdateDate": "05/09/2019",
    "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": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "37AC00469200",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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