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1609880186 NPI number — LISA TURTZ MD

NPI Number: 1609880186
Health Care Provider/Practitioner: LISA TURTZ MD

Information about “1609880186” NPI (LISA TURTZ MD) exists in 1609880186 in HTML format HTML  |  1609880186 in plain Text format TXT  |  1609880186 in PDF (Portable Document Format) PDF  |  1609880186 in an XML format XML  formats.

NPI Number : 1609880186 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609880186",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TURTZ",
    "FirstName": "LISA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BIRNBAUM",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "TURTZ",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4 CHATSWORTH AVE STE 202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LARCHMONT",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10538-2946",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-833-2741",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4 CHATSWORTH AVE STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LARCHMONT",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10538-2946",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "914-833-2741",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/28/2006",
    "LastUpdateDate": "06/20/2023",
    "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": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "167585",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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