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1770630493 NPI number — K.S.T. MANAGEMENT, LLC

NPI Number: 1770630493
Health Care Provider/Practitioner: K.S.T. MANAGEMENT, LLC

Information about “1770630493” NPI (K.S.T. MANAGEMENT, LLC) exists in 1770630493 in HTML format HTML  |  1770630493 in plain Text format TXT  |  1770630493 in PDF (Portable Document Format) PDF  |  1770630493 in an XML format XML  formats.

NPI Number : 1770630493 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770630493",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "K.S.T. MANAGEMENT, LLC",
    "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": "52 GROVE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AMSTERDAM",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12010-4706",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-842-7813",
    "MailingAddressFaxNumber": "518-842-7339",
    "FirstLinePracticeLocationAddress": "52 GROVE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AMSTERDAM",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12010-4706",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-842-7813",
    "PracticeLocationAddressFaxNumber": "518-842-7339",
    "EnumerationDate": "01/04/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TEMPELBERG",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "718-972-9409",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "1248A001",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": "380-F-045",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "1248L001",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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