Provider Demographics
NPI:1255510780
Name:JULIA Y. OWEIS M.D.P.C.
Entity type:Organization
Organization Name:JULIA Y. OWEIS M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:OWEIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-778-0022
Mailing Address - Street 1:34 FLETCHER AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-4004
Mailing Address - Country:US
Mailing Address - Phone:516-825-6161
Mailing Address - Fax:516-825-4930
Practice Address - Street 1:22 CREEK LN
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-1100
Practice Address - Country:US
Practice Address - Phone:516-778-0022
Practice Address - Fax:516-226-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211304207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEU101Medicare PIN