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Physician Compare National (NPI:1114026135)

HEALTHCARE PROVIDER: MARY ANN JULIANO PHD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1114026135
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4385773878
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100521000009
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name JULIANO
Individual professional last name
Provider First Name MARY ANN
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1980
Individual professional's medical school graduation year
Primary Specialty PSYCHOLOGIST, CLINICAL
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 8 BARSTOW RD
Group Practice or individual's line 1 address
Line 2 Street Address 1C
Group Practice or individual's line 2 address
City GREAT NECK
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 110213547
Group Practice or individual's zip code (9 digits when available)
Phone Number 5164871448
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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