Healthcare Provider Details

I. General information

NPI: 1902582034
Provider Name (Legal Business Name): JULIA PATERNOSTER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 LAKE AVE
TUCKAHOE NY
10707-3920
US

IV. Provider business mailing address

50 COLUMBUS AVE APT 918
TUCKAHOE NY
10707-2532
US

V. Phone/Fax

Practice location:
  • Phone: 914-337-8272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number065530
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: