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1902207061 NPI number — HARLEM EAST LIFE PLAN

NPI Number: 1902207061
Health Care Provider/Practitioner: HARLEM EAST LIFE PLAN

Information about “1902207061” NPI (HARLEM EAST LIFE PLAN) exists in 1902207061 in HTML format HTML  |  1902207061 in plain Text format TXT  |  1902207061 in PDF (Portable Document Format) PDF  |  1902207061 in an XML format XML  formats.

NPI Number : 1902207061 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902207061",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HARLEM EAST LIFE PLAN",
    "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": "2367 2ND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10035-3108",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-876-2300",
    "MailingAddressFaxNumber": "917-492-9292",
    "FirstLinePracticeLocationAddress": "2367 2ND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10035-3108",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-876-2300",
    "PracticeLocationAddressFaxNumber": "917-492-9292",
    "EnumerationDate": "09/09/2014",
    "LastUpdateDate": "09/09/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KING",
    "AuthorizedOfficialFirstName": "JOANNE",
    "AuthorizedOfficialMiddleName": "N",
    "AuthorizedOfficialTitle": "ADMINISTRATIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "212-876-2300",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QC1500X",
        "TaxonomyName": "Community Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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