{"npi":"1790795896","type":"NPI-1","status":"active","name":{"display":"Dr. Mary Koslap Petraco NP","other":[],"first":"MARY","last":"KOSLAP PETRACO","credential":"NP"},"specialty":{"primary_taxonomy":"363LP0200X","primary_taxonomy_description":"Nurse Practitioner, Pediatrics","slug":"nurse-practitioner-pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"363LP0200X","description":"Nurse Practitioner, Pediatrics","primary":true,"state":"NY","license":"F380420"}]},"addresses":[{"purpose":"LOCATION","street_1":"1080 SUNRISE HIGHWAY","city":"AMITYVILLE","state":"NY","postal_code":"11701","country_code":"US","street_2":"MAXINE S POSTAL TRI COMMUNITY HEALTH CENTER","phone":"6318541000","fax":"6318541031"},{"purpose":"MAILING","street_1":"1080 SUNRISE HIGHWAY","city":"AMITYVILLE","state":"NY","postal_code":"11701","country_code":"US","street_2":"MAXINE S POSTAL TRI COMMUNITY HEALTH CENTER","phone":"6318541000","fax":"6318541031"}],"license":{"state":"NY","number":"F380420"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00473170","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-09","last_updated":"2011-12-09","_meta":{"source":"NPPES","snapshot_date":"2011-12-09","doc_url":"https://findmynpi.com/api"}}