Provider Demographics
NPI:1356478341
Name:SARLO, JULIE A (PA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:SARLO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 EAST 210TH ST
Mailing Address - Street 2:MONTEFIRORE MEDICAL CENTER / AIDS CENTER
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-920-7926
Mailing Address - Fax:718-654-4394
Practice Address - Street 1:111 E. 210TH STREEY
Practice Address - Street 2:MMC- AIDS CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-920-7926
Practice Address - Fax:718-654-4394
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2016-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY001879363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant