Provider Demographics
NPI:1922554229
Name:BARRESI, JULIANA M (NP)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:M
Last Name:BARRESI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JULIANA
Other - Middle Name:
Other - Last Name:MOURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2700 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2547
Mailing Address - Country:US
Mailing Address - Phone:914-607-5730
Mailing Address - Fax:914-457-1195
Practice Address - Street 1:40 CROSS ST 4TH FL
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4647
Practice Address - Country:US
Practice Address - Phone:203-845-4800
Practice Address - Fax:203-845-4873
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006509363LF0000X
NY340593363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily