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1225350762 NPI number — AMITYVILLE ACUPUNCTURE & MASSAGE

NPI Number: 1225350762
Health Care Provider/Practitioner: AMITYVILLE ACUPUNCTURE & MASSAGE

Information about “1225350762” NPI (AMITYVILLE ACUPUNCTURE & MASSAGE) exists in 1225350762 in HTML format HTML  |  1225350762 in plain Text format TXT  |  1225350762 in PDF (Portable Document Format) PDF  |  1225350762 in an XML format XML  formats.

NPI Number : 1225350762 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225350762",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AMITYVILLE ACUPUNCTURE & MASSAGE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "134 BROADWAY",
    "SecondLineMailingAddress": "A",
    "MailingAddressCityName": "AMITYVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11701-2771",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-691-0200",
    "MailingAddressFaxNumber": "631-691-0202",
    "FirstLinePracticeLocationAddress": "134 BROADWAY",
    "SecondLinePracticeLocationAddress": "A",
    "PracticeLocationAddressCityName": "AMITYVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11701-2771",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-691-0200",
    "PracticeLocationAddressFaxNumber": "631-691-0202",
    "EnumerationDate": "02/25/2010",
    "LastUpdateDate": "02/25/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HURME",
    "AuthorizedOfficialFirstName": "ERIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSTOM, LAC, LMT",
    "AuthorizedOfficialTelephoneNumber": "631-691-0200",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QH0100X",
        "TaxonomyName": "Health Service Clinic/Center",
        "LicenseNumber": "37031",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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