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1194240374 NPI number — BROOKLYN SPINE AND JOINT CHIROPRACTIC, PT REHAB AND ACUPUNCTURE PLLC

NPI Number: 1194240374
Health Care Provider/Practitioner: BROOKLYN SPINE AND JOINT CHIROPRACTIC, PT REHAB AND ACUPUNCTURE PLLC

Information about “1194240374” NPI (BROOKLYN SPINE AND JOINT CHIROPRACTIC, PT REHAB AND ACUPUNCTURE PLLC) exists in 1194240374 in HTML format HTML  |  1194240374 in plain Text format TXT  |  1194240374 in PDF (Portable Document Format) PDF  |  1194240374 in an XML format XML  formats.

NPI Number : 1194240374 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194240374",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BROOKLYN SPINE AND JOINT CHIROPRACTIC, PT REHAB AND ACUPUNCTURE 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": "2019 NOSTRAND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11210-2549",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-261-7534",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2019 NOSTRAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11210-2549",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "914-261-7534",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/08/2017",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "REISS",
    "AuthorizedOfficialFirstName": "ROBERT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGING PARTNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC",
    "AuthorizedOfficialTelephoneNumber": "914-261-7534",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111NR0400X",
        "TaxonomyName": "Rehabilitation Chiropractor",
        "LicenseNumber": "NYSX24342",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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