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1295817955 NPI number — ELAINE LOMBARDI WILK DO

NPI Number: 1295817955
Health Care Provider/Practitioner: ELAINE LOMBARDI WILK DO

Information about “1295817955” NPI (ELAINE LOMBARDI WILK DO) exists in 1295817955 in HTML format HTML  |  1295817955 in plain Text format TXT  |  1295817955 in PDF (Portable Document Format) PDF  |  1295817955 in an XML format XML  formats.

NPI Number : 1295817955 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295817955",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILK",
    "FirstName": "ELAINE",
    "MiddleName": "LOMBARDI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LOMBARDI",
    "OtherFirstName": "ELAINE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1462 ERIE BLVD",
    "SecondLineMailingAddress": "ATTN: THE MEDICAL GROUP",
    "MailingAddressCityName": "SCHENECTADY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12305-1026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-243-1020",
    "MailingAddressFaxNumber": "518-243-1021",
    "FirstLinePracticeLocationAddress": "1101 NOTT ST",
    "SecondLinePracticeLocationAddress": "DEPARTMENT OF EMERGENCY",
    "PracticeLocationAddressCityName": "SCHENECTADY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12308-2425",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-243-4121",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/20/2006",
    "LastUpdateDate": "09/11/2015",
    "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": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "179150-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207PE0004X",
          "TaxonomyName": "Emergency Medical Services (Emergency Medicine) Physician",
          "LicenseNumber": "DO00812",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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