Provider Demographics
NPI:1568785772
Name:NUDELMAN, JULIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:NUDELMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:NUDELMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:291 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-7263
Mailing Address - Country:US
Mailing Address - Phone:718-768-2700
Mailing Address - Fax:718-867-6500
Practice Address - Street 1:291 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-7263
Practice Address - Country:US
Practice Address - Phone:718-768-2700
Practice Address - Fax:718-867-6500
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053343-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist