Provider Demographics
NPI:1922278910
Name:JULIUS SHULMAN MD PC
Entity Type:Organization
Organization Name:JULIUS SHULMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-861-6200
Mailing Address - Street 1:229 E 79TH ST
Mailing Address - Street 2:SUITE 1L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0866
Mailing Address - Country:US
Mailing Address - Phone:212-861-6200
Mailing Address - Fax:
Practice Address - Street 1:229 E 79TH ST
Practice Address - Street 2:SUITE 1L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0866
Practice Address - Country:US
Practice Address - Phone:212-861-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY107626207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY970151OtherLEGACY NUMBER
NYB20629Medicare UPIN