Healthcare Provider Details

I. General information

NPI: 1104647643
Provider Name (Legal Business Name): JULIA ROSE FRASSETTI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQ E STE 3
NEW YORK NY
10003-3314
US

IV. Provider business mailing address

10 UNION SQ E STE 3E
NEW YORK NY
10003-3314
US

V. Phone/Fax

Practice location:
  • Phone: 212-844-8590
  • Fax: 212-844-8501
Mailing address:
  • Phone: 917-524-4998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: