Provider Demographics
NPI:1811217359
Name:BARTOSSIK, JULIA (NP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:BARTOSSIK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1749 E 16TH ST
Mailing Address - Street 2:BROOKLYN
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2931
Mailing Address - Country:US
Mailing Address - Phone:718-375-4747
Mailing Address - Fax:718-375-2333
Practice Address - Street 1:1749 E 16TH ST
Practice Address - Street 2:BROOKLYN
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2931
Practice Address - Country:US
Practice Address - Phone:718-375-4747
Practice Address - Fax:718-375-2333
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF305197-1363LA2200X
NYF340750-1363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology