Provider Demographics
NPI:1013934926
Name:SAPOFF, JULIA (PT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SAPOFF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:YULIYA
Other - Middle Name:
Other - Last Name:PARKHOMOVSKAYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:2305 HYLAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-3231
Mailing Address - Country:US
Mailing Address - Phone:718-667-0297
Mailing Address - Fax:718-667-1945
Practice Address - Street 1:2305 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3231
Practice Address - Country:US
Practice Address - Phone:718-667-0297
Practice Address - Fax:718-667-1945
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01008700225100000X
NY015531225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1013934926Medicaid
NY02227443Medicaid
NYQM1111Medicare ID - Type UnspecifiedPHYSICAL THERAPY