Provider Demographics
NPI:1396940060
Name:JULIANO, MARY ANN M (RN, MSN, AOCN)
Entity type:Individual
Prefix:MS
First Name:MARY ANN
Middle Name:M
Last Name:JULIANO
Suffix:
Gender:F
Credentials:RN, MSN, AOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-2828
Mailing Address - Country:US
Mailing Address - Phone:212-367-1869
Mailing Address - Fax:212-604-6038
Practice Address - Street 1:325 W 15TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-5903
Practice Address - Country:US
Practice Address - Phone:212-367-1869
Practice Address - Fax:212-604-6038
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242913163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical