Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MA09109300 | NJ |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 265242 | NY |
NPI | 1043471808 |
---|---|
Provider Name | Mrs. Julia Altmann |
First Address | New York, NY 10024 |
Second Address | New York, NY 10024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 19/11/2019 |