Canonical ID: NK-RstePmAA4b4PTuiUddid3y · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 233A WEST POST ROAD, WHITE PLAINS, NY 10606 | ext_us_cms_npi | us-npi-1114698651 | ||||
Person:country | us | ext_us_cms_npi | us-npi-1114698651 | ||||
LegalEntity:country | us | us_ny_med_exclusions | us-medny-919dda69795e311cfbc42d75215931aed5768c9b | ||||
Person:firstName | STEFON | ext_us_cms_npi | us-npi-1114698651 | ||||
LegalEntity:id | 50a720d02ae0daff933361b36fd81552129b89e0 | us_ny_med_exclusions | us-medny-919dda69795e311cfbc42d75215931aed5768c9b | ||||
Person:id | 394f7220a928968b661918ab7bbf0e5a59a2c33c | ext_us_cms_npi | us-npi-1114698651 | ||||
LegalEntity:idNumber | 00028483 | eng | us_ny_med_exclusions | us-medny-919dda69795e311cfbc42d75215931aed5768c9b | |||
Person:lastName | COLLYMORE | ext_us_cms_npi | us-npi-1114698651 | ||||
Person:middleName | J | ext_us_cms_npi | us-npi-1114698651 | ||||
Person:name | STEFON J COLLYMORE | ext_us_cms_npi | us-npi-1114698651 | ||||
LegalEntity:name | COLLYMORE STEFON | eng | us_ny_med_exclusions | us-medny-919dda69795e311cfbc42d75215931aed5768c9b | |||
Person:npiCode | 1114698651 | ext_us_cms_npi | us-npi-1114698651 | ||||
LegalEntity:npiCode | 1114698651 | eng | us_ny_med_exclusions | us-medny-919dda69795e311cfbc42d75215931aed5768c9b | |||
LegalEntity:sector | Massage Therapist | eng | us_ny_med_exclusions | us-medny-919dda69795e311cfbc42d75215931aed5768c9b | |||
LegalEntity:topics | debarment | us_ny_med_exclusions | us-medny-919dda69795e311cfbc42d75215931aed5768c9b | ||||