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NPI Code Detail

MEDICARE: JULIA A. STELLUTO, DC

MEDICARE: JULIA A. STELLUTO, DC
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
1111NS0005XSports Physician ChiropractorX010208NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11659418812OTHERNYNPI

General Provider Information

NPI Number : 1659418812
Entity Type Code : Organization
Provider Name (Legal Business Name) : JULIA A. STELLUTO, DC
Provider Business Mailing Address
First Line : 235 E 49TH ST
Second Line : LOWER LEVEL
City : NEW YORK
State : NY
Zip : 10017-1537
Country : US
Telephone Number : 212-688-2900
Fax Number : 212-759-8046
Provider Business Practice Location Address
First Line : 235 E 49TH ST
Second Line : LOWER LEVEL
City : NEW YORK
State : NY
Zip : 10017-1537
Country : US
Telephone Number : 212-688-2900
Fax Number : 212-759-8046
Authorized Official
Title or Position : OWNER
Name : JULIA A STELLUTO
Credential : DC
Telephone Number : 212-688-2900
Provider Enumeration Date : 01/30/2007
Last Update Date : 05/05/2008

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