MEDICARE: JULIA THEODORA HUFF WHNP, PMHNP

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	363LW0102X	Women's Health Nurse Practitioner	421103	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F405184	NY

General Provider Information

NPI Number	:	1275887945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA THEODORA HUFF WHNP, PMHNP

Provider Business Mailing Address
First Line	:	2919 NEWTOWN AVE APT 3G
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-4882
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 N 12TH ST STE 827
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11249-1002
Country	:	US
Telephone Number	:	929-367-7419
Fax Number	:

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

Provider Enumeration Date	:	11/02/2012
Last Update Date	:	07/30/2024

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