Provider Demographics
NPI:1891118972
Name:JULIAN RAYMOND DC PC
Entity Type:Organization
Organization Name:JULIAN RAYMOND DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-804-8559
Mailing Address - Street 1:214 E 70TH ST APT GF
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5425
Mailing Address - Country:US
Mailing Address - Phone:212-804-8559
Mailing Address - Fax:917-410-7504
Practice Address - Street 1:214 E 70TH ST APT GF
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5425
Practice Address - Country:US
Practice Address - Phone:212-804-8559
Practice Address - Fax:917-410-7504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012226111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty