Plantamura, Julie A
Plantamura, Julie A is an individual health care provider with primary practice located at 1500 Route 112 Ste 101 , Port Jefferson Station NY 11776-8054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Plantamura, Julie A can be contacted via phone (631) 751-3000.Contact Information
Primary practice address
1500 Route 112 Ste 101
Port Jefferson Station NY 11776-8054
Phone: (631) 751-3000
Fax: (631) 509-6559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F333425 | New York |
Profile Details
| NPI number | 1164428561 |
|---|---|
| LBN Legal business name | Plantamura, Julie A |
| Credentials | ANPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 7th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164428561 | NPPES |
| New York | MEDICAID | 02219538 |
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