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1609948355 NPI number — MARIA DA CONCEICAO O'SHEA PT

NPI Number: 1609948355
Health Care Provider/Practitioner: MARIA DA CONCEICAO O'SHEA PT

Information about “1609948355” NPI (MARIA DA CONCEICAO O'SHEA PT) exists in 1609948355 in HTML format HTML  |  1609948355 in plain Text format TXT  |  1609948355 in PDF (Portable Document Format) PDF  |  1609948355 in an XML format XML  formats.

NPI Number : 1609948355 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609948355",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "O'SHEA",
    "FirstName": "MARIA",
    "MiddleName": "DA CONCEICAO",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "O' SHEA",
    "OtherFirstName": "MARIA",
    "OtherMiddleName": "DA CONCEICAO",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "215 PINEVIEW AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BARDONIA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10954",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "845-624-0864",
    "MailingAddressFaxNumber": "845-357-3897",
    "FirstLinePracticeLocationAddress": "2 EXECUTIVE BLVD",
    "SecondLinePracticeLocationAddress": "STE 204A",
    "PracticeLocationAddressCityName": "SUFFERN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-357-5686",
    "PracticeLocationAddressFaxNumber": "845-357-3897",
    "EnumerationDate": "11/15/2006",
    "LastUpdateDate": "07/10/2013",
    "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": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "40QA00525700",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "023818",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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