Provider Demographics
NPI:1720206287
Name:JOHN S. JULIANO, MD, PLLC
Entity Type:Organization
Organization Name:JOHN S. JULIANO, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:JULIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-294-7703
Mailing Address - Street 1:30 HATFIELD LN
Mailing Address - Street 2:SUITE 107
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-6766
Mailing Address - Country:US
Mailing Address - Phone:845-294-7703
Mailing Address - Fax:845-294-7974
Practice Address - Street 1:30 HATFIELD LN
Practice Address - Street 2:SUITE 107
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-6766
Practice Address - Country:US
Practice Address - Phone:845-294-7703
Practice Address - Fax:845-294-7974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213968-1207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty