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NPI Code Detail

MEDICARE: DONNA J. JULIANO RN

MEDICARE: DONNA J. JULIANO RN
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
1163WA0400XAddiction (Substance Use Disorder) Registered Nurse483449NY

General Provider Information

NPI Number : 1790529857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA J. JULIANO RN
Provider Business Mailing Address
First Line : 519 KING HILL EARLTON RD
Second Line :
City : SURPRISE
State : NY
Zip : 12176-1917
Country : US
Telephone Number : 518-755-6438
Fax Number :
Provider Business Practice Location Address
First Line : 411 MAIN ST STE 300
Second Line :
City : CATSKILL
State : NY
Zip : 12414-1366
Country : US
Telephone Number : 518-719-3580
Fax Number : 518-719-3552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2024
Last Update Date : 06/24/2024

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