Healthcare Provider Details

I. General information

NPI: 1275887945
Provider Name (Legal Business Name): JULIA THEODORA HUFF WHNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2012
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N 12TH ST STE 827
BROOKLYN NY
11249-1002
US

IV. Provider business mailing address

2919 NEWTOWN AVE APT 3G
ASTORIA NY
11102-4882
US

V. Phone/Fax

Practice location:
  • Phone: 929-367-7419
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421103
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF405184
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: