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NPI Code Detail

MEDICARE: MS. JULIE N. LONDON

MEDICARE: MS. JULIE N. LONDON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerNY
2104100000XSocial Worker

General Provider Information

NPI Number : 1588474951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE N. LONDON
Provider Business Mailing Address
First Line : 17561 HILLSIDE AVE STE 202
Second Line :
City : JAMAICA
State : NY
Zip : 11432-5771
Country : US
Telephone Number : 516-908-5161
Fax Number :
Provider Business Practice Location Address
First Line : 17561 HILLSIDE AVE STE 202
Second Line :
City : JAMAICA
State : NY
Zip : 11432-5771
Country : US
Telephone Number : 516-908-5161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2025
Last Update Date : 01/08/2025

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