Provider Demographics
NPI:1124233382
Name:JULIANO, ALBERT JOSEPH (MS)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:JOSEPH
Last Name:JULIANO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 FOREST HILL RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6334
Mailing Address - Country:US
Mailing Address - Phone:718-420-5791
Mailing Address - Fax:718-420-5797
Practice Address - Street 1:1728 FOREST HILL RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-6334
Practice Address - Country:US
Practice Address - Phone:718-420-5791
Practice Address - Fax:718-420-5797
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool