Individual
MRS. YULIA MAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, APRN
Contact information
Practice address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2188
Mailing address
314 WOOD ST APT 1, ITHACA, NY 14850-5310
(305) 770-8181
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
11015718
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
F383378
NY
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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