Provider Demographics
NPI:1760865661
Name:FLUK, JULIE (MS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:FLUK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:GLAZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1819 GLENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1815
Mailing Address - Country:US
Mailing Address - Phone:214-938-0141
Mailing Address - Fax:
Practice Address - Street 1:1819 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1815
Practice Address - Country:US
Practice Address - Phone:214-938-0141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist