NPI Code Detail JSON Logo

1396006144 NPI number — DAWN MARSALA MS ED

NPI Number: 1396006144
Health Care Provider/Practitioner: DAWN MARSALA MS ED

Information about “1396006144” NPI (DAWN MARSALA MS ED) exists in 1396006144 in HTML format HTML  |  1396006144 in plain Text format TXT  |  1396006144 in PDF (Portable Document Format) PDF  |  1396006144 in an XML format XML  formats.

NPI Number : 1396006144 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396006144",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARSALA",
    "FirstName": "DAWN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS ED",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DALY",
    "OtherFirstName": "DAWN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS ED",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "24 WINOKA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTINGTON STATION",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11746-2049",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-713-6310",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "610 W 112TH ST",
    "SecondLinePracticeLocationAddress": "BANK STREET FAMILY CENTER",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10025-1898",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-875-4412",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/07/2012",
    "LastUpdateDate": "06/07/2012",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "2196683",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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