Provider Demographics
NPI:1073717096
Name:NAM, JULIE NARI (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:NARI
Last Name:NAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:40 W 72ND ST
Mailing Address - Street 2:POC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4119
Mailing Address - Country:US
Mailing Address - Phone:212-981-9800
Mailing Address - Fax:212-981-9818
Practice Address - Street 1:40 W 72ND ST
Practice Address - Street 2:POC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4119
Practice Address - Country:US
Practice Address - Phone:212-981-9800
Practice Address - Fax:212-981-9818
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2023-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY237816207WX0110X, 390200000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program