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1548555071 NPI number — DIANNE H. DISSTON LP

NPI Number: 1548555071
Health Care Provider/Practitioner: DIANNE H. DISSTON LP

Information about “1548555071” NPI (DIANNE H. DISSTON LP) exists in 1548555071 in HTML format HTML  |  1548555071 in plain Text format TXT  |  1548555071 in PDF (Portable Document Format) PDF  |  1548555071 in an XML format XML  formats.

NPI Number : 1548555071 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548555071",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DISSTON",
    "FirstName": "DIANNE",
    "MiddleName": "H.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "16 LACONA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PATTERSON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12563-2023",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "845-494-6789",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "967 ROUTE 22",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BREWSTER",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10509-1526",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-494-6789",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/13/2011",
    "LastUpdateDate": "06/13/2011",
    "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": "102L00000X",
        "TaxonomyName": "Psychoanalyst",
        "LicenseNumber": "19 000868",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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