Provider Demographics
NPI:1033712708
Name:ASSAEL, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:ASSAEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 THE BIRCHES
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1903
Mailing Address - Country:US
Mailing Address - Phone:516-458-5472
Mailing Address - Fax:
Practice Address - Street 1:39 THE BIRCHES
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-1903
Practice Address - Country:US
Practice Address - Phone:516-458-5472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator