Provider Demographics
NPI:1245476977
Name:MURADOV, JULIA (DPM)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:MURADOV
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 HILLVIEW LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-1349
Mailing Address - Country:US
Mailing Address - Phone:646-251-6646
Mailing Address - Fax:718-332-3216
Practice Address - Street 1:91 WEED AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-4924
Practice Address - Country:US
Practice Address - Phone:718-668-1523
Practice Address - Fax:718-854-1810
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006289213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine