Healthcare Provider Details

I. General information

NPI: 1659433563
Provider Name (Legal Business Name): JULIA KACI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HOSPITAL OVAL W
VALHALLA NY
10595
US

IV. Provider business mailing address

20 HOSPITAL OVAL W
VALHALLA NY
10595
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-8150
  • Fax: 914-493-8755
Mailing address:
  • Phone: 914-493-8150
  • Fax: 914-493-8755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number245547
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: