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1326416199 NPI number — NEW LIFE PSYCHIATRY COUNSELING SERVICE

NPI Number: 1326416199
Health Care Provider/Practitioner: NEW LIFE PSYCHIATRY COUNSELING SERVICE

Information about “1326416199” NPI (NEW LIFE PSYCHIATRY COUNSELING SERVICE) exists in 1326416199 in HTML format HTML  |  1326416199 in plain Text format TXT  |  1326416199 in PDF (Portable Document Format) PDF  |  1326416199 in an XML format XML  formats.

NPI Number : 1326416199 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326416199",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEW LIFE PSYCHIATRY COUNSELING SERVICE",
    "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": "7127 FRESH POND RD",
    "SecondLineMailingAddress": "FIRST FLOOR RIGHT",
    "MailingAddressCityName": "RIDGEWOOD",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11385-5918",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-381-2829",
    "MailingAddressFaxNumber": "718-381-2819",
    "FirstLinePracticeLocationAddress": "7127 FRESH POND RD",
    "SecondLinePracticeLocationAddress": "FIRST FLOOR RIGHT",
    "PracticeLocationAddressCityName": "RIDGEWOOD",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11385-5918",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-381-2829",
    "PracticeLocationAddressFaxNumber": "718-381-2819",
    "EnumerationDate": "09/09/2015",
    "LastUpdateDate": "09/09/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHAIKH",
    "AuthorizedOfficialFirstName": "IMRAN",
    "AuthorizedOfficialMiddleName": "AZIZ",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "917-403-6271",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "264908",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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