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1760932974 NPI number — ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NYEE FACULTY PRACTICE

NPI Number: 1760932974
Health Care Provider/Practitioner: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NYEE FACULTY PRACTICE

Information about “1760932974” NPI (ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NYEE FACULTY PRACTICE) exists in 1760932974 in HTML format HTML  |  1760932974 in plain Text format TXT  |  1760932974 in PDF (Portable Document Format) PDF  |  1760932974 in an XML format XML  formats.

NPI Number : 1760932974 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760932974",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NYEE FACULTY PRACTICE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "150 E 42ND ST",
    "SecondLineMailingAddress": "10TH FLOOR",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10017-5612",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-605-8119",
    "MailingAddressFaxNumber": "646-605-3031",
    "FirstLinePracticeLocationAddress": "310 E 14TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10003-4201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-979-4500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2016",
    "LastUpdateDate": "10/12/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MACNEILL",
    "AuthorizedOfficialFirstName": "CRYSTAL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VICE PRESIDENT, CBO DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "646-605-8112",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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