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1265852800 NPI number — IMMEDIATE CARE MEDICAL WALK-IN OF BENSONHURST, PC

NPI Number: 1265852800
Health Care Provider/Practitioner: IMMEDIATE CARE MEDICAL WALK-IN OF BENSONHURST, PC

Information about “1265852800” NPI (IMMEDIATE CARE MEDICAL WALK-IN OF BENSONHURST, PC) exists in 1265852800 in HTML format HTML  |  1265852800 in plain Text format TXT  |  1265852800 in PDF (Portable Document Format) PDF  |  1265852800 in an XML format XML  formats.

NPI Number : 1265852800 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265852800",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "PROGRESSIVE URGENT CARE MANAGEMENT",
    "ParentOrgTIN": null,
    "OrgName": "IMMEDIATE CARE MEDICAL WALK-IN OF BENSONHURST, PC",
    "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": "6906 18TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11204-5048",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6906 18TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11204-5048",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-335-9400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/22/2014",
    "LastUpdateDate": "03/16/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHAROBEEM",
    "AuthorizedOfficialFirstName": "ESMAT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF MEDICAL OFFICER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "732-335-9400",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QU0200X",
        "TaxonomyName": "Urgent Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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