Healthcare Provider Details

I. General information

NPI: 1922554229
Provider Name (Legal Business Name): JULIANA M. BARRESI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIANA MOURA

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 03/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 CROSS ST 4TH FL
NORWALK CT
06851-4647
US

IV. Provider business mailing address

2700 WESTCHESTER AVE
PURCHASE NY
10577-2547
US

V. Phone/Fax

Practice location:
  • Phone: 203-845-4800
  • Fax: 203-845-4873
Mailing address:
  • Phone: 914-607-5730
  • Fax: 914-457-1195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number006509
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number340593
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: