Provider Demographics
NPI:1275889396
Name:PACHTINGER, JULIE FAITH (SPECIALIST/SPECIAL I)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:FAITH
Last Name:PACHTINGER
Suffix:
Gender:F
Credentials:SPECIALIST/SPECIAL I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HAMASPIK WAY
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950
Mailing Address - Country:US
Mailing Address - Phone:845-774-0334
Mailing Address - Fax:845-774-0534
Practice Address - Street 1:1 HAMASPIK WAY
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950
Practice Address - Country:US
Practice Address - Phone:845-774-0334
Practice Address - Fax:845-774-0534
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist