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1871854661 NPI number — MRS. MARISSA ELIA

NPI Number: 1871854661
Health Care Provider/Practitioner: MRS. MARISSA ELIA

Information about “1871854661” NPI (MRS. MARISSA ELIA) exists in 1871854661 in HTML format HTML  |  1871854661 in plain Text format TXT  |  1871854661 in PDF (Portable Document Format) PDF  |  1871854661 in an XML format XML  formats.

NPI Number : 1871854661 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871854661",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ELIA",
    "FirstName": "MARISSA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11 PEARL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST HARRISON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10604-2520",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20 CEDAR ST",
    "SecondLinePracticeLocationAddress": "302",
    "PracticeLocationAddressCityName": "NEW ROCHELLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10801-5247",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "914-576-5292",
    "PracticeLocationAddressFaxNumber": "914-636-5990",
    "EnumerationDate": "06/07/2012",
    "LastUpdateDate": "06/08/2012",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "889046",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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