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1417498452 NPI number — WWW WASHME TV

NPI Number: 1417498452
Health Care Provider/Practitioner: WWW WASHME TV

Information about “1417498452” NPI (WWW WASHME TV) exists in 1417498452 in HTML format HTML  |  1417498452 in plain Text format TXT  |  1417498452 in PDF (Portable Document Format) PDF  |  1417498452 in an XML format XML  formats.

NPI Number : 1417498452 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417498452",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WWW WASHME TV",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 BEATTIE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLETOWN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10940-4047",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-308-5628",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 BEATTIE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLETOWN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10940-4047",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-308-5628",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/09/2017",
    "LastUpdateDate": "03/09/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FLORESTAL",
    "AuthorizedOfficialFirstName": "ANTHONY",
    "AuthorizedOfficialMiddleName": "B",
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "718-308-5628",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "343900000X",
        "TaxonomyName": "Non-emergency Medical Transport (VAN)",
        "LicenseNumber": "243877095",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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