Healthcare Provider Details

I. General information

NPI: 1245876903
Provider Name (Legal Business Name): JOANNA LYNN URLI MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2019
Last Update Date: 11/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HEALTHY WAY F4-GENETIC COUNSELING
OCEANSIDE NY
11572-1551
US

IV. Provider business mailing address

1 HEALTHY WAY F4-GENETIC COUNSELING
OCEANSIDE NY
11572-1551
US

V. Phone/Fax

Practice location:
  • Phone: 516-497-7550
  • Fax: 516-497-7497
Mailing address:
  • Phone: 516-497-7550
  • Fax: 516-497-7497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: