{
"Npi": {
"NPI": "1851660310",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "EIVAZI",
"FirstName": "JOANNA",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M.SED",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WEITZMAN",
"OtherFirstName": "JOANNA",
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"OtherCredential": "M.SED",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3812 DIANNE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BETHPAGE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11714-5405",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-749-2190",
"MailingAddressFaxNumber": "516-336-5589",
"FirstLinePracticeLocationAddress": "300 GARDEN CITY PLZ",
"SecondLinePracticeLocationAddress": "SUITE 350",
"PracticeLocationAddressCityName": "GARDEN CITY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11530-3302",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-747-1833",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/29/2011",
"LastUpdateDate": "12/29/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
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"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "252Y00000X",
"TaxonomyName": "Early Intervention Provider Agency",
"LicenseNumber": "701381",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}