Healthcare Provider Details

I. General information

NPI: 1053643239
Provider Name (Legal Business Name): JULIA DAWN DRATTELL PHD, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 7TH AVE STE 5A
BROOKLYN NY
11215-3691
US

IV. Provider business mailing address

263 7TH AVE STE 5A
BROOKLYN NY
11215-3691
US

V. Phone/Fax

Practice location:
  • Phone: 718-246-8700
  • Fax:
Mailing address:
  • Phone: 718-246-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number001947-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: