Healthcare Provider Details

I. General information

NPI: 1033477435
Provider Name (Legal Business Name): JULIA ANN SCHILLINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2012
Last Update Date: 04/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 WAVERLY AVE APT #1
BROOKLYN NY
11238-1706
US

IV. Provider business mailing address

406 WAVERLY AVE APT #1
BROOKLYN NY
11238-1706
US

V. Phone/Fax

Practice location:
  • Phone: 917-406-4165
  • Fax:
Mailing address:
  • Phone: 917-406-4165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number226356
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: