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1093284135 NPI number — JOSEPH ANTHONY GUARRELLA PHYSICIAN ASSISTANT

NPI Number: 1093284135
Health Care Provider/Practitioner: JOSEPH ANTHONY GUARRELLA PHYSICIAN ASSISTANT

Information about “1093284135” NPI (JOSEPH ANTHONY GUARRELLA PHYSICIAN ASSISTANT) exists in 1093284135 in HTML format HTML  |  1093284135 in plain Text format TXT  |  1093284135 in PDF (Portable Document Format) PDF  |  1093284135 in an XML format XML  formats.

NPI Number : 1093284135 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093284135",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUARRELLA",
    "FirstName": "JOSEPH",
    "MiddleName": "ANTHONY",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PHYSICIAN ASSISTANT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GUARRELLA",
    "OtherFirstName": "JOSEPH",
    "OtherMiddleName": "ANTHONY",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "6615 19TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11204-3849",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-538-3147",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6615 19TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11204-3849",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-837-0840",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/19/2018",
    "LastUpdateDate": "11/19/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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