Provider Demographics
NPI:1760967996
Name:ZACHENSKY, JULIA V
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:V
Last Name:ZACHENSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 STEBBINS AVE
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3709
Mailing Address - Country:US
Mailing Address - Phone:914-310-5957
Mailing Address - Fax:
Practice Address - Street 1:10 STEBBINS AVE
Practice Address - Street 2:
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-3709
Practice Address - Country:US
Practice Address - Phone:914-310-5957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist