Provider Demographics
NPI:1952415507
Name:GARVEY, JULIUS WINSTON (MD)
Entity type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:WINSTON
Last Name:GARVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2035 LAKEVILLE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1600
Mailing Address - Country:US
Mailing Address - Phone:516-326-3255
Mailing Address - Fax:718-460-2036
Practice Address - Street 1:163 03 HORACE HARDING EXPRESSWAY
Practice Address - Street 2:SUITE L L 3
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365
Practice Address - Country:US
Practice Address - Phone:718-460-3791
Practice Address - Fax:718-460-2036
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY107943174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00386738OtherRR MEDICARE
NY660861OtherNGS MEDICARE
NY85653OtherGHI MEDICARE
NY00190390Medicaid
NYB58765Medicare UPIN