Healthcare Provider Details

I. General information

NPI: 1780837831
Provider Name (Legal Business Name): JULIA CIOBUCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA CIOBUCA PT

II. Dates (important events)

Enumeration Date: 11/02/2008
Last Update Date: 06/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CREST STREET
CROTON ON HUDSON NY
10520
US

IV. Provider business mailing address

8 CREST ST
CROTON ON HUDSON NY
10520-2904
US

V. Phone/Fax

Practice location:
  • Phone: 914-271-4148
  • Fax: 914-217-4148
Mailing address:
  • Phone: 914-271-4148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number013174-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: