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1407840614 NPI number — MARIA B GESUALDO D.O.

NPI Number: 1407840614
Health Care Provider/Practitioner: MARIA B GESUALDO D.O.

Information about “1407840614” NPI (MARIA B GESUALDO D.O.) exists in 1407840614 in HTML format HTML  |  1407840614 in plain Text format TXT  |  1407840614 in PDF (Portable Document Format) PDF  |  1407840614 in an XML format XML  formats.

NPI Number : 1407840614 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407840614",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GESUALDO",
    "FirstName": "MARIA",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1729 BURRSTONE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW HARTFORD",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13413-1001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-798-1702",
    "MailingAddressFaxNumber": "315-798-1726",
    "FirstLinePracticeLocationAddress": "1729 BURRSTONE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW HARTFORD",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13413-1001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-798-1702",
    "PracticeLocationAddressFaxNumber": "315-798-1726",
    "EnumerationDate": "09/02/2005",
    "LastUpdateDate": "02/17/2017",
    "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": "207RC0200X",
          "TaxonomyName": "Critical Care Medicine (Internal Medicine) Physician",
          "LicenseNumber": "229084",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207RP1001X",
          "TaxonomyName": "Pulmonary Disease Physician",
          "LicenseNumber": "229084",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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