Provider Demographics
NPI:1598303513
Name:KLING, JULIA FULLER (CBC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:FULLER
Last Name:KLING
Suffix:
Gender:F
Credentials:CBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1497 CARROLL ST APT 49
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-4580
Mailing Address - Country:US
Mailing Address - Phone:845-664-2301
Mailing Address - Fax:
Practice Address - Street 1:1497 CARROLL ST APT 49
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-4580
Practice Address - Country:US
Practice Address - Phone:845-664-2301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN