Individual
JULIA IYASERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A
Contact information
Practice address
622 W 168TH ST, VANDERBILT CLINIC 2ND FLOOR, NEW YORK, NY 10032-3720
(212) 305-6354
Mailing address
622 W 168TH ST, VANDERBILT CLINIC 2ND FLOOR, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
256408
NY
Other
Enumeration date
08/08/2008
Last updated
06/11/2024
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