Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 243675 | NY |
NPI | 1285891556 |
---|---|
Provider Name | Julie Cherian |
First Address | Stony Brook, NY 11790-0989 |
Second Address | East Setauket, NY 11733-3465 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 08/05/2015 |