Provider Demographics
NPI:1659374023
Name:SZUMIGALA, JULIE ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNE
Last Name:SZUMIGALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:ANNE
Other - Last Name:FARKASH-SZUMIGALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:240 RED TAIL
Mailing Address - Street 2:STE 5&6
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1581
Mailing Address - Country:US
Mailing Address - Phone:716-677-0454
Mailing Address - Fax:716-712-0061
Practice Address - Street 1:240 RED TAIL
Practice Address - Street 2:STE 5&6
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1581
Practice Address - Country:US
Practice Address - Phone:716-677-0454
Practice Address - Fax:716-712-0061
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2111921-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02157995Medicaid
NYH49367Medicare UPIN
NY02157995Medicaid