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1801167150 NPI number — ILVIRA D'ATRI DPM

NPI Number: 1801167150
Health Care Provider/Practitioner: ILVIRA D'ATRI DPM

Information about “1801167150” NPI (ILVIRA D'ATRI DPM) exists in 1801167150 in HTML format HTML  |  1801167150 in plain Text format TXT  |  1801167150 in PDF (Portable Document Format) PDF  |  1801167150 in an XML format XML  formats.

NPI Number : 1801167150 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801167150",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "D'ATRI",
    "FirstName": "ILVIRA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ISYANOVA",
    "OtherFirstName": "ILVIRA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DPM",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3049 BRIGHTON 6TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11235-6409",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-620-9187",
    "MailingAddressFaxNumber": "718-934-0994",
    "FirstLinePracticeLocationAddress": "57 HARRISON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAWORTH",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07641-1920",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "917-620-9187",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/18/2012",
    "LastUpdateDate": "01/06/2014",
    "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": "213ES0103X",
          "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
          "LicenseNumber": "006443",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "213ES0103X",
          "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
          "LicenseNumber": "25MD00312800",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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