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1154671386 NPI number — JILLIAN DINO M.ED., MPS, TVI

NPI Number: 1154671386
Health Care Provider/Practitioner: JILLIAN DINO M.ED., MPS, TVI

Information about “1154671386” NPI (JILLIAN DINO M.ED., MPS, TVI) exists in 1154671386 in HTML format HTML  |  1154671386 in plain Text format TXT  |  1154671386 in PDF (Portable Document Format) PDF  |  1154671386 in an XML format XML  formats.

NPI Number : 1154671386 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154671386",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DINO",
    "FirstName": "JILLIAN",
    "MiddleName": null,
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "M.ED., MPS, TVI",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PRISCO",
    "OtherFirstName": "JILLIAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "M.ED., MPS, TVI",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "320 W 38TH ST APT 1910",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10018-5237",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-906-8474",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "292 MADISON AVE",
    "SecondLinePracticeLocationAddress": "2ND FLOOR",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10017-6307",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-418-0320",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/14/2012",
    "LastUpdateDate": "09/14/2012",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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