Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 042.0012920 | VT |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 283914 | NY |
NPI | 1457640435 |
---|---|
Provider Name | Dr. Julia Katharine Hunter |
First Address | Akron, OH 44309 |
Second Address | Binghamton, NY 13903-1617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2011 |
Last Update Date | 15/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0143608 | (05) | OH |
03960469 | (05) | NY |
1023597 | (05) | VT |