Basic Information
Provider Information
NPI: 1235585654
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ORRA
FirstName: NURA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 129 W 29TH ST FL 10
Address2:  
City: NEW YORK
State: NY
PostalCode: 100015105
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber: 9175916490
Practice Location
Address1: 25 HUDSON ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 10013
CountryCode: US
TelephoneNumber: 2124414401
FaxNumber: 2128674353
Other Information
ProviderEnumerationDate: 05/05/2016
LastUpdateDate: 08/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X300631NYY Allopathic & Osteopathic PhysiciansFamily Medicine 
390200000X OHN Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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