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1124927173 NPI number — NURSE PRACTITIONER IN PSYCHIATRY SERVICES OF JOSE M. VAZQUEZ CRUZ, PLLC

NPI Number: 1124927173
Health Care Provider/Practitioner: NURSE PRACTITIONER IN PSYCHIATRY SERVICES OF JOSE M. VAZQUEZ CRUZ, PLLC

Information about “1124927173” NPI (NURSE PRACTITIONER IN PSYCHIATRY SERVICES OF JOSE M. VAZQUEZ CRUZ, PLLC) exists in 1124927173 in HTML format HTML  |  1124927173 in plain Text format TXT  |  1124927173 in PDF (Portable Document Format) PDF  |  1124927173 in an XML format XML  formats.

NPI Number : 1124927173 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124927173",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NURSE PRACTITIONER IN PSYCHIATRY SERVICES OF JOSE M. VAZQUEZ CRUZ, PLLC",
    "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": "1870 62ND ST APT 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11204-2926",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-916-0420",
    "MailingAddressFaxNumber": "718-232-2439",
    "FirstLinePracticeLocationAddress": "1870 62ND ST APT 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11204-2926",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "917-916-0420",
    "PracticeLocationAddressFaxNumber": "718-232-2439",
    "EnumerationDate": "11/04/2026",
    "LastUpdateDate": "11/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VAZQUEZ CRUZ",
    "AuthorizedOfficialFirstName": "JOSE",
    "AuthorizedOfficialMiddleName": "MANUEL",
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NP",
    "AuthorizedOfficialTelephoneNumber": "929-216-5357",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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