Healthcare Provider Details

I. General information

NPI: 1174438493
Provider Name (Legal Business Name): JULIANA PREMA MACALUSO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIANA PREMA BASS

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 LEE RD
OAK HILL NY
12460-5208
US

IV. Provider business mailing address

131 LEE RD
OAK HILL NY
12460-5208
US

V. Phone/Fax

Practice location:
  • Phone: 973-641-9600
  • Fax:
Mailing address:
  • Phone: 518-956-3912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHADR17077
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number14000046850
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: