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1629406152 NPI number — ONIKA AYANNA HOLMAN NP

NPI Number: 1629406152
Health Care Provider/Practitioner: ONIKA AYANNA HOLMAN NP

Information about “1629406152” NPI (ONIKA AYANNA HOLMAN NP) exists in 1629406152 in HTML format HTML  |  1629406152 in plain Text format TXT  |  1629406152 in PDF (Portable Document Format) PDF  |  1629406152 in an XML format XML  formats.

NPI Number : 1629406152 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629406152",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLMAN",
    "FirstName": "ONIKA",
    "MiddleName": "AYANNA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "LONG ISLAND CONSULTATION CENTER",
    "SecondLineMailingAddress": "91-31 QUEENS BLVD",
    "MailingAddressCityName": "QUEENS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11373",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-896-3400",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "424 E 34TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10016-4901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-263-4617",
    "PracticeLocationAddressFaxNumber": "212-263-1051",
    "EnumerationDate": "10/18/2013",
    "LastUpdateDate": "11/27/2023",
    "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": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "404543",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2100X",
          "TaxonomyName": "Acute Care Nurse Practitioner",
          "LicenseNumber": "430747",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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