=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497618318
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIANA DELANEY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/08/2025
-----------------------------------------------------
Last Update Date | 12/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 265 BROADHOLLOW RD STE 201
-----------------------------------------------------
City | MELVILLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11747-4833
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-216-7585
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 505 WHITE PLAINS RD APT 1B
-----------------------------------------------------
City | EASTCHESTER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10709-5523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 75975201
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------