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1619187580 NPI number — EUGENE GUBERMAN M.A.

NPI Number: 1619187580
Health Care Provider/Practitioner: EUGENE GUBERMAN M.A.

Information about “1619187580” NPI (EUGENE GUBERMAN M.A.) exists in 1619187580 in HTML format HTML  |  1619187580 in plain Text format TXT  |  1619187580 in PDF (Portable Document Format) PDF  |  1619187580 in an XML format XML  formats.

NPI Number : 1619187580 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619187580",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUBERMAN",
    "FirstName": "EUGENE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GUBERMAN",
    "OtherFirstName": "GENE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.A.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "26 W 9TH ST",
    "SecondLineMailingAddress": "6D",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10011-8971",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-285-3030",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "26 W 9TH ST",
    "SecondLinePracticeLocationAddress": "6D",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10011-8971",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-285-3030",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/22/2007",
    "LastUpdateDate": "01/31/2014",
    "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": "000410-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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