{
"Npi": {
"NPI": "1346493301",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GIFTOS AND MAZZONE, CO.,INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "519 NATHANIEL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SCHENECTADY",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12303-5652",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-361-1022",
"MailingAddressFaxNumber": "866-788-7140",
"FirstLinePracticeLocationAddress": "519 NATHANIEL DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCHENECTADY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12303-5652",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-361-1022",
"PracticeLocationAddressFaxNumber": "866-788-7140",
"EnumerationDate": "11/03/2008",
"LastUpdateDate": "11/03/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAZZONE",
"AuthorizedOfficialFirstName": "JOANNA",
"AuthorizedOfficialMiddleName": "JOAN",
"AuthorizedOfficialTitle": "SPEECH PATHOLOGIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MS CCC-SLP",
"AuthorizedOfficialTelephoneNumber": "518-361-1022",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "252Y00000X",
"TaxonomyName": "Early Intervention Provider Agency",
"LicenseNumber": "004188-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}