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1538496898 NPI number — MICHELLE ANNE LISOWSKI M.S.

NPI Number: 1538496898
Health Care Provider/Practitioner: MICHELLE ANNE LISOWSKI M.S.

Information about “1538496898” NPI (MICHELLE ANNE LISOWSKI M.S.) exists in 1538496898 in HTML format HTML  |  1538496898 in plain Text format TXT  |  1538496898 in PDF (Portable Document Format) PDF  |  1538496898 in an XML format XML  formats.

NPI Number : 1538496898 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538496898",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LISOWSKI",
    "FirstName": "MICHELLE",
    "MiddleName": "ANNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "36 HIGH ACRES DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POUGHKEEPSIE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12603-3710",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-523-5681",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1392 ALBANY POST ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CROTON ON HUDSON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10520",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-520-3092",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/06/2009",
    "LastUpdateDate": "02/01/2020",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "12150587",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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