Provider Demographics
NPI:1043550437
Name:PRIDILAYLO, JULIA
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:PRIDILAYLO
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 1:2820 OCEAN PKWY
Mailing Address - Street 2:APT 8B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7903
Mailing Address - Country:US
Mailing Address - Phone:646-286-6343
Mailing Address - Fax:
Practice Address - Street 1:2820 OCEAN PKWY
Practice Address - Street 2:APT 8B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7903
Practice Address - Country:US
Practice Address - Phone:646-286-6343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist