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1710399407 NPI number — MELVILLE MEDICAL CARE

NPI Number: 1710399407
Health Care Provider/Practitioner: MELVILLE MEDICAL CARE

Information about “1710399407” NPI (MELVILLE MEDICAL CARE) exists in 1710399407 in HTML format HTML  |  1710399407 in plain Text format TXT  |  1710399407 in PDF (Portable Document Format) PDF  |  1710399407 in an XML format XML  formats.

NPI Number : 1710399407 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710399407",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MELVILLE MEDICAL CARE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 SOMERSET ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTINGTON STATION",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11746-8411",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 SOMERSET ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUNTINGTON STATION",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11746-8411",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-271-3075",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/29/2014",
    "LastUpdateDate": "05/29/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "QADIR",
    "AuthorizedOfficialFirstName": "SONIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "631-271-3075",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": "232820",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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