Provider Demographics
NPI:1649464835
Name:SHULMAN, JULIA PAULA (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:PAULA
Last Name:SHULMAN
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 1:20 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5944
Mailing Address - Country:US
Mailing Address - Phone:212-203-0999
Mailing Address - Fax:212-202-4884
Practice Address - Street 1:20 E 9TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5944
Practice Address - Country:US
Practice Address - Phone:212-203-0999
Practice Address - Fax:212-202-4884
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245828207W00000X
FLME 112907207W00000X
FLME112907207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006549300Medicaid
FL006549300Medicaid