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1720224058 NPI number — KINGS COUNTY PLASTIC SURGERY SERVICES, P.C.

NPI Number: 1720224058
Health Care Provider/Practitioner: KINGS COUNTY PLASTIC SURGERY SERVICES, P.C.

Information about “1720224058” NPI (KINGS COUNTY PLASTIC SURGERY SERVICES, P.C.) exists in 1720224058 in HTML format HTML  |  1720224058 in plain Text format TXT  |  1720224058 in PDF (Portable Document Format) PDF  |  1720224058 in an XML format XML  formats.

NPI Number : 1720224058 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720224058",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KINGS COUNTY PLASTIC SURGERY SERVICES, P.C.",
    "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": "600 W 111TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10025-1813",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-249-7775",
    "MailingAddressFaxNumber": "212-249-7776",
    "FirstLinePracticeLocationAddress": "50 E 69TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10021-5002",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-249-7775",
    "PracticeLocationAddressFaxNumber": "212-249-7776",
    "EnumerationDate": "12/16/2008",
    "LastUpdateDate": "12/16/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VAZQUEZ",
    "AuthorizedOfficialFirstName": "LORRAINE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "212-249-7775",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA1903X",
        "TaxonomyName": "Ambulatory Surgical Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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