Provider Demographics
NPI:1023242377
Name:KURIAKOSE, JULIE SUSAN (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:SUSAN
Last Name:KURIAKOSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 MURRAY ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-2250
Mailing Address - Country:US
Mailing Address - Phone:212-729-1283
Mailing Address - Fax:
Practice Address - Street 1:49 MURRAY ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-2250
Practice Address - Country:US
Practice Address - Phone:212-729-1283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08984900207K00000X
NY254536207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology