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1255235594 NPI number — ERIN CAVALLO NURSE PRACTITIONER IN PSYCHIATRY PLLC

NPI Number: 1255235594
Health Care Provider/Practitioner: ERIN CAVALLO NURSE PRACTITIONER IN PSYCHIATRY PLLC

Information about “1255235594” NPI (ERIN CAVALLO NURSE PRACTITIONER IN PSYCHIATRY PLLC) exists in 1255235594 in HTML format HTML  |  1255235594 in plain Text format TXT  |  1255235594 in PDF (Portable Document Format) PDF  |  1255235594 in an XML format XML  formats.

NPI Number : 1255235594 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255235594",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ERIN CAVALLO NURSE PRACTITIONER IN PSYCHIATRY PLLC",
    "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": "5108 VELASKO RD STE 2000",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SYRACUSE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13215-1982",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-607-9417",
    "MailingAddressFaxNumber": "800-675-9814",
    "FirstLinePracticeLocationAddress": "5108 VELASKO RD STE 2000",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SYRACUSE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13215-1982",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-607-9417",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/07/2026",
    "LastUpdateDate": "10/07/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CAVALLO",
    "AuthorizedOfficialFirstName": "ERIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SOLE MEMBER / OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PMHNP",
    "AuthorizedOfficialTelephoneNumber": "315-607-9417",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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