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NPI Code Detail

MEDICARE: JULENE JUNE SINCLAIR

MEDICARE: JULENE JUNE SINCLAIR
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
1183500000XPharmacist0654470VA
21835N1003XNutrition Support Pharmacist0654470NY

General Provider Information

NPI Number : 1952937443
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULENE JUNE SINCLAIR
Provider Business Mailing Address
First Line : 1371 METROPOLITAN AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-7403
Country : US
Telephone Number : 917-767-0779
Fax Number :
Provider Business Practice Location Address
First Line : 1371 METROPOLITAN AVE APT 3013
Second Line :
City : BRONX
State : NY
Zip : 10462-7403
Country : US
Telephone Number : 718-597-7690
Fax Number : 718-597-7696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2020
Last Update Date : 05/13/2021

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Directions to “ JULENE JUNE SINCLAIR ” Practice Location

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