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NPI Code Detail

MEDICARE: JULISSA GARCIA PHD, DR

MEDICARE: JULISSA GARCIA PHD, DR
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1659092245
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULISSA GARCIA PHD, DR
Provider Business Mailing Address
First Line : 1095 MCDONALD AVE
Second Line :
City : WANTAGH
State : NY
Zip : 11793-1716
Country : US
Telephone Number : 516-560-0554
Fax Number :
Provider Business Practice Location Address
First Line : 535 S OYSTER BAY RD
Second Line :
City : PLAINVIEW
State : NY
Zip : 11803-3310
Country : US
Telephone Number : 516-888-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2022
Last Update Date : 09/15/2025

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