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1538262787 NPI number — ALAN MARK ZARETSKY MSW, DMD

NPI Number: 1538262787
Health Care Provider/Practitioner: ALAN MARK ZARETSKY MSW, DMD

Information about “1538262787” NPI (ALAN MARK ZARETSKY MSW, DMD) exists in 1538262787 in HTML format HTML  |  1538262787 in plain Text format TXT  |  1538262787 in PDF (Portable Document Format) PDF  |  1538262787 in an XML format XML  formats.

NPI Number : 1538262787 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538262787",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZARETSKY",
    "FirstName": "ALAN",
    "MiddleName": "MARK",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW, DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "61 JANE STREET",
    "SecondLineMailingAddress": "APT 4B",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10014",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-727-3974",
    "MailingAddressFaxNumber": "212-799-1359",
    "FirstLinePracticeLocationAddress": "61 JANE STREET",
    "SecondLinePracticeLocationAddress": "APT 4B",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10014",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-727-3974",
    "PracticeLocationAddressFaxNumber": "212-799-1359",
    "EnumerationDate": "09/06/2006",
    "LastUpdateDate": "08/16/2010",
    "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": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "R0431291",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "44SC00676100",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "032976-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "22DI01134300",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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