MEDICARE: JULIA SCHUBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	093050	NY

General Provider Information

NPI Number	:	1063890051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA SCHUBERT

Provider Business Mailing Address
First Line	:	157 N OCEAN AVE STE 1
Second Line	:
City	:	PATCHOGUE
State	:	NY
Zip	:	11772-2016
Country	:	US
Telephone Number	:	631-672-8996
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 N OCEAN AVE STE 1
Second Line	:
City	:	PATCHOGUE
State	:	NY
Zip	:	11772-2016
Country	:	US
Telephone Number	:	631-672-8996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2015
Last Update Date	:	12/11/2025

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Directions to “ JULIA SCHUBERT ” Practice Location

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