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1992466866 NPI number — ILANA SHAYE FROMKIN LMSW

NPI Number: 1992466866
Health Care Provider/Practitioner: ILANA SHAYE FROMKIN LMSW

Information about “1992466866” NPI (ILANA SHAYE FROMKIN LMSW) exists in 1992466866 in HTML format HTML  |  1992466866 in plain Text format TXT  |  1992466866 in PDF (Portable Document Format) PDF  |  1992466866 in an XML format XML  formats.

NPI Number : 1992466866 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992466866",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FROMKIN",
    "FirstName": "ILANA",
    "MiddleName": "SHAYE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FROMKIN",
    "OtherFirstName": "LAYNA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1 GUSTAVE L LEVY PL FL 12",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10029-6574",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-881-3574",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 GUSTAVE L LEVY PL FL 12",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10029-6574",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "917-881-3574",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/04/2022",
    "LastUpdateDate": "01/04/2022",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "112943",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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