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1851949762 NPI number — LESLIE ANNE GIANAN SANTELICES PT

NPI Number: 1851949762
Health Care Provider/Practitioner: LESLIE ANNE GIANAN SANTELICES PT

Information about “1851949762” NPI (LESLIE ANNE GIANAN SANTELICES PT) exists in 1851949762 in HTML format HTML  |  1851949762 in plain Text format TXT  |  1851949762 in PDF (Portable Document Format) PDF  |  1851949762 in an XML format XML  formats.

NPI Number : 1851949762 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851949762",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SANTELICES",
    "FirstName": "LESLIE ANNE",
    "MiddleName": "GIANAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5423 83RD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELMHURST",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11373-4723",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-238-7358",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "675 THIRD AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10017-1001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-922-1001",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/04/2019",
    "LastUpdateDate": "09/04/2019",
    "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": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": "043679",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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