Provider Demographics
NPI:1790119485
Name:DAHNE, JULIUS
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:
Last Name:DAHNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:YOSEF
Other - Middle Name:DAVID
Other - Last Name:DAHNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:613 E NEW YORK AVE
Mailing Address - Street 2:2RB
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1165
Mailing Address - Country:US
Mailing Address - Phone:646-932-7064
Mailing Address - Fax:
Practice Address - Street 1:613 E NEW YORK AVE
Practice Address - Street 2:2RB
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1165
Practice Address - Country:US
Practice Address - Phone:646-932-7064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY764565131103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst