Provider Demographics
NPI:1851445175
Name:SCHULMAN, JULIE K (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:K
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:16 CENTER, SUITE 1642
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-9985
Mailing Address - Fax:212-305-1249
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:16 CENTER, SUITE 1642
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-9985
Practice Address - Fax:212-305-1249
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209855-12084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2216306Medicaid
CO75424240Medicaid
CO29821746Medicaid
CO475048Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #
COH21236Medicare UPIN
CO475038Medicare ID - Type UnspecifiedGROUP MEDICARE #
CO75424240Medicaid