Provider Demographics
NPI:1063688695
Name:CAPIOLA, JULIE GALLOMBARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:GALLOMBARDO
Last Name:CAPIOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:51 E 25TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-8211
Mailing Address - Country:US
Mailing Address - Phone:212-598-0331
Mailing Address - Fax:212-475-3798
Practice Address - Street 1:51 E 25TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8211
Practice Address - Country:US
Practice Address - Phone:212-598-0331
Practice Address - Fax:212-475-3798
Is Sole Proprietor?:No
Enumeration Date:2008-05-04
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248695208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics