Healthcare Provider Details

I. General information

NPI: 1487576260
Provider Name (Legal Business Name): JULIO WARREN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4004 CARPENTER AVE APT 2A
BRONX NY
10466-3642
US

IV. Provider business mailing address

4004 CARPENTER AVE
BRONX NY
10466-3672
US

V. Phone/Fax

Practice location:
  • Phone: 347-751-9206
  • Fax:
Mailing address:
  • Phone: 347-751-9206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: