Individual
JULIA MOTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23 S HOWELL AVE STE G, CENTEREACH, NY 11720-4445
(631) 786-4977
Mailing address
23 S HOWELL AVE STE G, CENTEREACH, NY 11720-4445
(631) 786-4977
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
307671
NY
Other
Enumeration date
03/22/2016
Last updated
01/24/2019
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