Provider Demographics
NPI:1811086937
Name:HATTERER, JULIE ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNE
Last Name:HATTERER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:116 W 23RD ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2599
Mailing Address - Country:US
Mailing Address - Phone:212-877-6729
Mailing Address - Fax:304-451-0115
Practice Address - Street 1:116 W 23RD ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2599
Practice Address - Country:US
Practice Address - Phone:212-877-6729
Practice Address - Fax:304-451-0115
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2019-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY159480-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY14E921Medicare UPIN