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1962747295 NPI number — FRANK AVERSA

NPI Number: 1962747295
Health Care Provider/Practitioner: FRANK AVERSA

Information about “1962747295” NPI (FRANK AVERSA) exists in 1962747295 in HTML format HTML  |  1962747295 in plain Text format TXT  |  1962747295 in PDF (Portable Document Format) PDF  |  1962747295 in an XML format XML  formats.

NPI Number : 1962747295 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962747295",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AVERSA",
    "FirstName": "FRANK",
    "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": "12 JUSTIN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORTLANDT MANOR",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10567-5235",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1739 E MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOHEGAN LAKE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10547-1356",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "914-397-1885",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/27/2012",
    "LastUpdateDate": "11/27/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "237700000X",
        "TaxonomyName": "Hearing Instrument Specialist",
        "LicenseNumber": "14000015490",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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