NPI Code Detail JSON Logo

1770980534 NPI number — EMILY ANN SOMBKE PA-C

NPI Number: 1770980534
Health Care Provider/Practitioner: EMILY ANN SOMBKE PA-C

Information about “1770980534” NPI (EMILY ANN SOMBKE PA-C) exists in 1770980534 in HTML format HTML  |  1770980534 in plain Text format TXT  |  1770980534 in PDF (Portable Document Format) PDF  |  1770980534 in an XML format XML  formats.

NPI Number : 1770980534 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770980534",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOMBKE",
    "FirstName": "EMILY",
    "MiddleName": "ANN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MALINOWSKI",
    "OtherFirstName": "EMILY",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "249 MANOR RD.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTINGTON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11743",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-331-5952",
    "MailingAddressFaxNumber": "410-329-1054",
    "FirstLinePracticeLocationAddress": "249 MANOR RD.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUNTINGTON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11743",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-331-5952",
    "PracticeLocationAddressFaxNumber": "631-201-6104",
    "EnumerationDate": "11/21/2014",
    "LastUpdateDate": "06/21/2019",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "018259",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.