Provider Demographics
NPI:1477059822
Name:FRAGIAS, JULIA
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:FRAGIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 E 18TH ST APT 3N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7566
Mailing Address - Country:US
Mailing Address - Phone:917-667-0020
Mailing Address - Fax:
Practice Address - Street 1:1355 E 18TH ST APT 3N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7566
Practice Address - Country:US
Practice Address - Phone:917-667-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2021-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health