Provider Demographics
NPI:1174001549
Name:ROITMAN, JULIYA (RN, AGPCNP)
Entity Type:Individual
Prefix:MS
First Name:JULIYA
Middle Name:
Last Name:ROITMAN
Suffix:
Gender:F
Credentials:RN, AGPCNP
Other - Prefix:MS
Other - First Name:JULIYA
Other - Middle Name:
Other - Last Name:SIGALOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, AGPCNP
Mailing Address - Street 1:275 7TH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6884
Mailing Address - Country:US
Mailing Address - Phone:212-675-9332
Mailing Address - Fax:212-604-3844
Practice Address - Street 1:275 7TH AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-675-9332
Practice Address - Fax:212-604-3844
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF308742363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY675855OtherREGISTERED PROFESSIONAL NURSE
NYF308742OtherNURSE PRACTITIONER CERTIFICATE