Healthcare Provider Details

I. General information

NPI: 1972124360
Provider Name (Legal Business Name): JULIE PICCIONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 STATION PLZ N STE 509
MINEOLA NY
11501-3893
US

IV. Provider business mailing address

3 EAST CT
BABYLON NY
11702-4501
US

V. Phone/Fax

Practice location:
  • Phone: 516-663-2381
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number322795
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: