1639326572 NPI number — MS. JULIE E CASE M.A., M.A., CCC-SLP

Table of content: MS. JULIE E CASE M.A., M.A., CCC-SLP (NPI 1639326572)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639326572 NPI number — MS. JULIE E CASE M.A., M.A., CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CASE
Provider First Name:
JULIE
Provider Middle Name:
E
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., M.A., CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CASE TREMAGLIO
Provider Other First Name:
JULIE
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA MA CCC-SLP
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1639326572
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
365 W 20TH ST
Provider Second Line Business Mailing Address:
APT 7C
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10011-3354
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-733-7213
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
365 W 20TH ST
Provider Second Line Business Practice Location Address:
APT 7C
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10011-3354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-733-7213
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  018374 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 27-3553221 . This is a "TAX IDENTIFICATION NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".