Provider Demographics
NPI:1710329578
Name:STRAFACE, JULIANNE K (PA-C)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:K
Last Name:STRAFACE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1980 CROMPOND RD FL 3
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-4182
Mailing Address - Country:US
Mailing Address - Phone:845-705-5775
Mailing Address - Fax:
Practice Address - Street 1:1980 CROMPOND RD FL 3
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4182
Practice Address - Country:US
Practice Address - Phone:914-734-3725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY016736363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical