Individual
JULIA BEVILACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
424 E 34TH ST FL 16, NEW YORK, NY 10016-4901
(212) 263-4616
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
307311
NY
Other
Enumeration date
03/14/2013
Last updated
11/06/2020
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