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1083603419 NPI number — DELLANIRA C ROSARIO-LEGER D.D.S.

NPI Number: 1083603419
Health Care Provider/Practitioner: DELLANIRA C ROSARIO-LEGER D.D.S.

Information about “1083603419” NPI (DELLANIRA C ROSARIO-LEGER D.D.S.) exists in 1083603419 in HTML format HTML  |  1083603419 in plain Text format TXT  |  1083603419 in PDF (Portable Document Format) PDF  |  1083603419 in an XML format XML  formats.

NPI Number : 1083603419 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083603419",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROSARIO-LEGER",
    "FirstName": "DELLANIRA",
    "MiddleName": "C",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "34 W MIDLAND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARAMUS",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07652-2140",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-225-9584",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "701 W 179TH ST",
    "SecondLinePracticeLocationAddress": "SUITE #3",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10033-6021",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-740-1208",
    "PracticeLocationAddressFaxNumber": "212-740-7755",
    "EnumerationDate": "10/18/2005",
    "LastUpdateDate": "07/08/2007",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "042475",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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