Provider Demographics
NPI:1619056918
Name:ANDREW, JULITA RAE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULITA
Middle Name:RAE
Last Name:ANDREW
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Gender:F
Credentials:MD
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Mailing Address - Street 1:239 GOLDEN HILL LN
Mailing Address - Street 2:HUDSON VALLEY MENTAL HEALTH
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-6441
Mailing Address - Country:US
Mailing Address - Phone:845-486-2703
Mailing Address - Fax:845-383-1729
Practice Address - Street 1:239 GOLDEN HILL LN
Practice Address - Street 2:HUDSON VALLEY MENTAL HEALTH
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-6441
Practice Address - Country:US
Practice Address - Phone:845-340-4000
Practice Address - Fax:845-383-1729
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2018-01-03
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Provider Licenses
StateLicense IDTaxonomies
NY1751062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02326025Medicaid