Provider Demographics
NPI:1841484839
Name:JULIANO, JUSTIN JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:JAMES
Last Name:JULIANO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3 CROSSING BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-4154
Mailing Address - Country:US
Mailing Address - Phone:518-831-4434
Mailing Address - Fax:518-831-4435
Practice Address - Street 1:3 CROSSING BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-4154
Practice Address - Country:US
Practice Address - Phone:518-831-4434
Practice Address - Fax:518-831-4435
Is Sole Proprietor?:No
Enumeration Date:2007-09-01
Last Update Date:2015-05-04
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Provider Licenses
StateLicense IDTaxonomies
NY2766002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400207629Medicare PIN
NYA400114641Medicare PIN