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NPI Code Detail

MEDICARE: JULIANNA KOBUS RN

MEDICARE: JULIANNA KOBUS RN
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
1163WM0705XMedical-Surgical Registered Nurse26NR19611100NY

General Provider Information

NPI Number : 1700717634
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANNA KOBUS RN
Provider Business Mailing Address
First Line : 311 E 75TH ST APT 4C
Second Line :
City : NEW YORK
State : NY
Zip : 10021-3035
Country : US
Telephone Number : 973-349-8903
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 973-349-8903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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