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1225601727 NPI number — MANDAL MEDICAL CARE PLLC

NPI Number: 1225601727
Health Care Provider/Practitioner: MANDAL MEDICAL CARE PLLC

Information about “1225601727” NPI (MANDAL MEDICAL CARE PLLC) exists in 1225601727 in HTML format HTML  |  1225601727 in plain Text format TXT  |  1225601727 in PDF (Portable Document Format) PDF  |  1225601727 in an XML format XML  formats.

NPI Number : 1225601727 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225601727",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MANDAL MEDICAL CARE 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": "14 RAYMOND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HICKSVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11801-4332",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-664-4158",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "230 HILTON AVE STE 106",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HEMPSTEAD",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11550-8116",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-416-4060",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/21/2021",
    "LastUpdateDate": "03/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MANDAL",
    "AuthorizedOfficialFirstName": "KAUSHIK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "917-664-4158",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RE0101X",
          "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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