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1427370501 NPI number — OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC

NPI Number: 1427370501
Health Care Provider/Practitioner: OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC

Information about “1427370501” NPI (OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC) exists in 1427370501 in HTML format HTML  |  1427370501 in plain Text format TXT  |  1427370501 in PDF (Portable Document Format) PDF  |  1427370501 in an XML format XML  formats.

NPI Number : 1427370501 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427370501",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC",
    "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": "77 UNION AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CENTER MORICHES",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11934-3213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "77 UNION AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CENTER MORICHES",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11934-3213",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-874-0571",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/17/2010",
    "LastUpdateDate": "02/17/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DEBLER",
    "AuthorizedOfficialFirstName": "KRISTA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "631-874-0571",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171W00000X",
        "TaxonomyName": "Contractor",
        "LicenseNumber": "007249",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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