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1154137073 NPI number — WETCHLER MEDICAL PC

NPI Number: 1154137073
Health Care Provider/Practitioner: WETCHLER MEDICAL PC

Information about “1154137073” NPI (WETCHLER MEDICAL PC) exists in 1154137073 in HTML format HTML  |  1154137073 in plain Text format TXT  |  1154137073 in PDF (Portable Document Format) PDF  |  1154137073 in an XML format XML  formats.

NPI Number : 1154137073 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154137073",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WETCHLER MEDICAL PC",
    "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": "135 CROSSWAYS PARK DR STE LL7",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODBURY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11797-2008",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-212-7630",
    "MailingAddressFaxNumber": "516-200-2482",
    "FirstLinePracticeLocationAddress": "135 CROSSWAYS PARK DR STE LL7",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODBURY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11797-2008",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-212-7630",
    "PracticeLocationAddressFaxNumber": "516-200-2482",
    "EnumerationDate": "12/05/2024",
    "LastUpdateDate": "12/05/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WETCHLER",
    "AuthorizedOfficialFirstName": "BRIAN",
    "AuthorizedOfficialMiddleName": "HARPER",
    "AuthorizedOfficialTitle": "PHYSICIAN, OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DO",
    "AuthorizedOfficialTelephoneNumber": "516-212-7630",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "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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