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1356476014 NPI number — KAREN AMY SUSSMAN M.A., CCC

NPI Number: 1356476014
Health Care Provider/Practitioner: KAREN AMY SUSSMAN M.A., CCC

Information about “1356476014” NPI (KAREN AMY SUSSMAN M.A., CCC) exists in 1356476014 in HTML format HTML  |  1356476014 in plain Text format TXT  |  1356476014 in PDF (Portable Document Format) PDF  |  1356476014 in an XML format XML  formats.

NPI Number : 1356476014 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356476014",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUSSMAN",
    "FirstName": "KAREN",
    "MiddleName": "AMY",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.A., CCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SUSSMAN-GOLDSTEIN",
    "OtherFirstName": "KAREN",
    "OtherMiddleName": "AMY",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.A., CCC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "184 W NICHOLAI ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HICKSVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11801-3828",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-433-1822",
    "MailingAddressFaxNumber": "516-433-1840",
    "FirstLinePracticeLocationAddress": "184 W NICHOLAI ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HICKSVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11801-3828",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-433-1822",
    "PracticeLocationAddressFaxNumber": "516-433-1840",
    "EnumerationDate": "02/22/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "003259-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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