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1598015158 NPI number — ANGELA RITIENI PT, DPT

NPI Number: 1598015158
Health Care Provider/Practitioner: ANGELA RITIENI PT, DPT

Information about “1598015158” NPI (ANGELA RITIENI PT, DPT) exists in 1598015158 in HTML format HTML  |  1598015158 in plain Text format TXT  |  1598015158 in PDF (Portable Document Format) PDF  |  1598015158 in an XML format XML  formats.

NPI Number : 1598015158 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598015158",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RITIENI",
    "FirstName": "ANGELA",
    "MiddleName": null,
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "460 OLD TOWN RD",
    "SecondLineMailingAddress": "BLG 3, APT. E",
    "MailingAddressCityName": "PORT JEFFERSON STATION",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11776-2200",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-770-8656",
    "MailingAddressFaxNumber": "516-770-8656",
    "FirstLinePracticeLocationAddress": "41 ECHO AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILLER PLACE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11764-2108",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-331-2348",
    "PracticeLocationAddressFaxNumber": "631-928-7068",
    "EnumerationDate": "09/11/2012",
    "LastUpdateDate": "07/01/2021",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "017935-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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