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1801158720 NPI number — MEDICINE AND REHABILITATION SERVICE PC

NPI Number: 1801158720
Health Care Provider/Practitioner: MEDICINE AND REHABILITATION SERVICE PC

Information about “1801158720” NPI (MEDICINE AND REHABILITATION SERVICE PC) exists in 1801158720 in HTML format HTML  |  1801158720 in plain Text format TXT  |  1801158720 in PDF (Portable Document Format) PDF  |  1801158720 in an XML format XML  formats.

NPI Number : 1801158720 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801158720",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEDICINE AND REHABILITATION SERVICE PC",
    "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": "730 FORT WASHINGTON AVE",
    "SecondLineMailingAddress": "APT 3N",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10040-3738",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "427 FORT WASHINGTON AVE APT 1A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10033-3522",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-669-8192",
    "PracticeLocationAddressFaxNumber": "646-669-8192",
    "EnumerationDate": "06/15/2012",
    "LastUpdateDate": "05/07/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LIU",
    "AuthorizedOfficialFirstName": "XIAOGUANG",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL DOCTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "718-530-5267",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": "233485",
        "LicenseNumberStateCode": "NY",
        "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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