Provider Demographics
NPI:1841294584
Name:SHULMAN, JULIUS (MD)
Entity type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:
Last Name:SHULMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 E GATE BLVD
Mailing Address - Street 2:STE 111
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2136
Mailing Address - Country:US
Mailing Address - Phone:516-804-5200
Mailing Address - Fax:516-240-6540
Practice Address - Street 1:229 E 79TH ST
Practice Address - Street 2:STE 1L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0866
Practice Address - Country:US
Practice Address - Phone:212-861-6200
Practice Address - Fax:212-288-6545
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2019-02-06
Deactivation Date:2006-03-15
Deactivation Code:
Reactivation Date:2006-03-23
Provider Licenses
StateLicense IDTaxonomies
NY107626207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00189684Medicaid
NY970151Medicare PIN
NY00189684Medicaid