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1346316775 NPI number — ELIZABETH MARIE CARNAVAL LCAT, ATR-BC

NPI Number: 1346316775
Health Care Provider/Practitioner: ELIZABETH MARIE CARNAVAL LCAT, ATR-BC

Information about “1346316775” NPI (ELIZABETH MARIE CARNAVAL LCAT, ATR-BC) exists in 1346316775 in HTML format HTML  |  1346316775 in plain Text format TXT  |  1346316775 in PDF (Portable Document Format) PDF  |  1346316775 in an XML format XML  formats.

NPI Number : 1346316775 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346316775",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARNAVAL",
    "FirstName": "ELIZABETH",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCAT, ATR-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOLMES",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCAT, ATR",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "21 NORCROSS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKVILLE CENTRE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11570-1926",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-534-6671",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "950 FRANKLIN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GARDEN CITY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11530-2927",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "347-534-6671",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/28/2006",
    "LastUpdateDate": "01/18/2025",
    "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": "221700000X",
        "TaxonomyName": "Art Therapist",
        "LicenseNumber": "000141",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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