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1154359461 NPI number — ALETHEA CUNNINGHAM P.A.

NPI Number: 1154359461
Health Care Provider/Practitioner: ALETHEA CUNNINGHAM P.A.

Information about “1154359461” NPI (ALETHEA CUNNINGHAM P.A.) exists in 1154359461 in HTML format HTML  |  1154359461 in plain Text format TXT  |  1154359461 in PDF (Portable Document Format) PDF  |  1154359461 in an XML format XML  formats.

NPI Number : 1154359461 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154359461",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CUNNINGHAM",
    "FirstName": "ALETHEA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "P.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PANOUSIS",
    "OtherFirstName": "ALETHEA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "P.A.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1345 AVENUE OF THE AMERICAS FL 8",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10105-0018",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-588-3635",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1345 AVENUE OF THE AMERICAS",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10105-0302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-934-9350",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/28/2006",
    "LastUpdateDate": "01/14/2025",
    "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": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "65681",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "007102",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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