Active NPI
Graziella Shallo
- Specialist
- Harrison, NY
National Provider Identifier
1306269063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1017932
- Practice address
- 70 West St
Apt A14
Harrison, NY 10528-4033 - Phone
- (914) 318-0823
- NPI assigned
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1017932 | NY | Primary |
Addresses
Primary practice location
70 West St
Apt A14
Harrison, NY 10528-4033
Mailing address
70 West Street
Apt A14
Harrison, NY 10528
Phone (914) 318-0823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1017932 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1306269063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 WEST STREET",
"address_2": "APT A14",
"city": "HARRISON",
"state": "NY",
"postal_code": "10528",
"telephone_number": "914-318-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 WEST ST",
"address_2": "APT A14",
"city": "HARRISON",
"state": "NY",
"postal_code": "105284033",
"telephone_number": "914-318-0823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALLO",
"first_name": "GRAZIELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-30",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1017932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.