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1255073250 NPI number — NADYNE VICTORIA CASTORO PSYD

NPI Number: 1255073250
Health Care Provider/Practitioner: NADYNE VICTORIA CASTORO PSYD

Information about “1255073250” NPI (NADYNE VICTORIA CASTORO PSYD) exists in 1255073250 in HTML format HTML  |  1255073250 in plain Text format TXT  |  1255073250 in PDF (Portable Document Format) PDF  |  1255073250 in an XML format XML  formats.

NPI Number : 1255073250 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255073250",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CASTORO",
    "FirstName": "NADYNE",
    "MiddleName": "VICTORIA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSYD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHNEIDER",
    "OtherFirstName": "NADYNE",
    "OtherMiddleName": "VICTORIA",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PSYD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "442 BAMBRICK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCEANSIDE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11572-3633",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-241-7765",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "442 BAMBRICK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCEANSIDE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11572-3633",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-241-7765",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/11/2022",
    "LastUpdateDate": "04/11/2022",
    "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": "103TS0200X",
        "TaxonomyName": "School Psychologist",
        "LicenseNumber": "1853856",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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