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1053595025 NPI number — SAYVILLE HEARING SERVICES

NPI Number: 1053595025
Health Care Provider/Practitioner: SAYVILLE HEARING SERVICES

Information about “1053595025” NPI (SAYVILLE HEARING SERVICES) exists in 1053595025 in HTML format HTML  |  1053595025 in plain Text format TXT  |  1053595025 in PDF (Portable Document Format) PDF  |  1053595025 in an XML format XML  formats.

NPI Number : 1053595025 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053595025",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SAYVILLE HEARING SERVICES",
    "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": "58 S MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAYVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11782-3104",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-750-6377",
    "MailingAddressFaxNumber": "631-750-6376",
    "FirstLinePracticeLocationAddress": "58 S MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAYVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11782-3104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-750-6377",
    "PracticeLocationAddressFaxNumber": "631-750-6376",
    "EnumerationDate": "12/26/2007",
    "LastUpdateDate": "12/26/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ESPOSITO",
    "AuthorizedOfficialFirstName": "PAUL",
    "AuthorizedOfficialMiddleName": "RALPH",
    "AuthorizedOfficialTitle": "AUDIOLOGIST",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA",
    "AuthorizedOfficialTelephoneNumber": "631-750-6377",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QH0700X",
        "TaxonomyName": "Hearing and Speech Clinic/Center",
        "LicenseNumber": "150000016310",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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