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1164784245 NPI number — YUDELKA ALTAGRACIA SOTO M.S./S.E.

NPI Number: 1164784245
Health Care Provider/Practitioner: YUDELKA ALTAGRACIA SOTO M.S./S.E.

Information about “1164784245” NPI (YUDELKA ALTAGRACIA SOTO M.S./S.E.) exists in 1164784245 in HTML format HTML  |  1164784245 in plain Text format TXT  |  1164784245 in PDF (Portable Document Format) PDF  |  1164784245 in an XML format XML  formats.

NPI Number : 1164784245 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164784245",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOTO",
    "FirstName": "YUDELKA",
    "MiddleName": "ALTAGRACIA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S./S.E.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "131 W 143RD ST",
    "SecondLineMailingAddress": "APT. #5-B",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10030-3529",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-283-9705",
    "MailingAddressFaxNumber": "212-283-9705",
    "FirstLinePracticeLocationAddress": "111 LIVINGSTON ST",
    "SecondLinePracticeLocationAddress": "SUITE 1101",
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11201-5078",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-625-4055",
    "PracticeLocationAddressFaxNumber": "718-625-4702",
    "EnumerationDate": "06/13/2012",
    "LastUpdateDate": "06/13/2012",
    "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": "586833051",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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