Provider Demographics
NPI:1861833352
Name:SHEKHMAN, JULIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SHEKHMAN
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 1:2520 BATCHELDER ST
Mailing Address - Street 2:APT 6-P
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1553
Mailing Address - Country:US
Mailing Address - Phone:917-319-9723
Mailing Address - Fax:
Practice Address - Street 1:2520 BATCHELDER ST
Practice Address - Street 2:APT 6-P
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1553
Practice Address - Country:US
Practice Address - Phone:917-319-9723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY756116131174400000X
NY756117131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist