Individual
DR. JULIA NICOLOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
140 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1330
(631) 473-3094
(631) 473-0679
Mailing address
140 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1330
(631) 473-3094
(631) 473-0679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064706
NY
Other
Enumeration date
04/11/2024
Last updated
08/01/2025
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