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1710195326 NPI number — LYDIA ADEL MAKARYUS D.O.

NPI Number: 1710195326
Health Care Provider/Practitioner: LYDIA ADEL MAKARYUS D.O.

Information about “1710195326” NPI (LYDIA ADEL MAKARYUS D.O.) exists in 1710195326 in HTML format HTML  |  1710195326 in plain Text format TXT  |  1710195326 in PDF (Portable Document Format) PDF  |  1710195326 in an XML format XML  formats.

NPI Number : 1710195326 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710195326",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAKARYUS",
    "FirstName": "LYDIA",
    "MiddleName": "ADEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GERGES",
    "OtherFirstName": "LYDIA",
    "OtherMiddleName": "ADEL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "D.O.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "711 STEWART AVE STE 140",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GARDEN CITY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11530-4757",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-742-4015",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "711 STEWART AVE STE 140",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GARDEN CITY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11530",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-742-4015",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/18/2007",
    "LastUpdateDate": "09/19/2019",
    "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": "2084P0804X",
        "TaxonomyName": "Child & Adolescent Psychiatry Physician",
        "LicenseNumber": "249327",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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