Healthcare Provider Details

I. General information

NPI: 1164386892
Provider Name (Legal Business Name): JULIA V CAMPISE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 BELL BLVD
BAYSIDE NY
11364-3448
US

IV. Provider business mailing address

24456 88TH RD
BELLEROSE NY
11426-1610
US

V. Phone/Fax

Practice location:
  • Phone: 718-464-5773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number431803-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: