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NPI Code Detail

MEDICARE: JULIE DK MCNAIRN MD

MEDICARE: JULIE DK MCNAIRN MD
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
1208M00000XHospitalist Physician235631NY
2207KA0200XAllergy Physician235631NY
3207R00000XInternal Medicine Physician235631NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982671442
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE DK MCNAIRN MD
Provider Business Mailing Address
First Line : 904 E SHORE DR
Second Line :
City : ITHACA
State : NY
Zip : 14850-1026
Country : US
Telephone Number : 607-257-6563
Fax Number : 607-257-1420
Provider Business Practice Location Address
First Line : 904 E SHORE DR
Second Line :
City : ITHACA
State : NY
Zip : 14850-1026
Country : US
Telephone Number : 607-257-6563
Fax Number : 607-257-1420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2006
Last Update Date : 06/17/2026

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