Provider Demographics
NPI:1841639267
Name:KRAJEWSKI, JULIE (LPN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:KRAJEWSKI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4219 CENTERLINE RD
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-9714
Mailing Address - Country:US
Mailing Address - Phone:585-689-9717
Mailing Address - Fax:
Practice Address - Street 1:81 WYOMING ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-9579
Practice Address - Country:US
Practice Address - Phone:585-358-6950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301507164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse