Provider Demographics
NPI:1477059822
Name:FRAGIAS, JULIA
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:FRAGIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4551 AUBURNDALE LN
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3337
Mailing Address - Country:US
Mailing Address - Phone:917-667-0020
Mailing Address - Fax:
Practice Address - Street 1:4551 AUBURNDALE LN
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3337
Practice Address - Country:US
Practice Address - Phone:917-667-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2024-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
NY011262101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health