Individual
JULIE PATRICIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
990 7TH NORTH ST, LIVERPOOL, NY 13088-6148
(315) 634-1100
Mailing address
990 7TH NORTH ST, LIVERPOOL, NY 13088-6148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
265634
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03478177
—
NY
Enumeration date
06/16/2009
Last updated
01/20/2020
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