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1225302508 NPI number — ST. VINCENT'S SERVICES

NPI Number: 1225302508
Health Care Provider/Practitioner: ST. VINCENT'S SERVICES

Information about “1225302508” NPI (ST. VINCENT'S SERVICES) exists in 1225302508 in HTML format HTML  |  1225302508 in plain Text format TXT  |  1225302508 in PDF (Portable Document Format) PDF  |  1225302508 in an XML format XML  formats.

NPI Number : 1225302508 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225302508",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ST. VINCENT'S SERVICES",
    "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": "7 PARK AVE",
    "SecondLineMailingAddress": "APT. 145",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10016-4349",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-447-5534",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7 PARK AVE",
    "SecondLinePracticeLocationAddress": "APT 145",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10016-4349",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-447-5534",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/03/2012",
    "LastUpdateDate": "03/03/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FREEMAN",
    "AuthorizedOfficialFirstName": "ROBERT",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "718-422-2287",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "084708-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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