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1639650286 NPI number — JONA HABERMAN AU.D

NPI Number: 1639650286
Health Care Provider/Practitioner: JONA HABERMAN AU.D

Information about “1639650286” NPI (JONA HABERMAN AU.D) exists in 1639650286 in HTML format HTML  |  1639650286 in plain Text format TXT  |  1639650286 in PDF (Portable Document Format) PDF  |  1639650286 in an XML format XML  formats.

NPI Number : 1639650286 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639650286",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HABERMAN",
    "FirstName": "JONA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AU.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3116 32ND ST APT 1C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ASTORIA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11106-2500",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-679-3102",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "110 E 59TH ST RM 10A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10022-1359",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-434-4582",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/22/2018",
    "LastUpdateDate": "02/08/2019",
    "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": "231H00000X",
        "TaxonomyName": "Audiologist",
        "LicenseNumber": "002819-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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