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1477676435 NPI number — MARTIN K DINER M.D., PH.D.

NPI Number: 1477676435
Health Care Provider/Practitioner: MARTIN K DINER M.D., PH.D.

Information about “1477676435” NPI (MARTIN K DINER M.D., PH.D.) exists in 1477676435 in HTML format HTML  |  1477676435 in plain Text format TXT  |  1477676435 in PDF (Portable Document Format) PDF  |  1477676435 in an XML format XML  formats.

NPI Number : 1477676435 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477676435",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DINER",
    "FirstName": "MARTIN",
    "MiddleName": "K",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D., PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "42 STEUBEN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAPPAN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10983-1917",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "845-359-1800",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "42 STEUBEN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAPPAN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10983-1917",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-359-1800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "3504",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2083P0901X",
          "TaxonomyName": "Public Health & General Preventive Medicine Physician",
          "LicenseNumber": "180635",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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