Provider Demographics
NPI:1740064856
Name:MONELLO, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MONELLO
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 1:561 4TH ST APT C2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3067
Mailing Address - Country:US
Mailing Address - Phone:347-403-4408
Mailing Address - Fax:
Practice Address - Street 1:83 MAIDEN LN FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4702
Practice Address - Country:US
Practice Address - Phone:347-403-4408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program